Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,370.32 / $7,413.10	Facility		$1,584.89	$5,370.32	$7,413.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,890.45 / $11,220.18	Facility		$1,288.25	$3,890.45	$11,220.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,659.59 / $6,456.54	Facility		$1,000.00	$1,659.59	$6,456.54
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $165.96 / $165.96 / $165.96	Facility	AS	$165.96	$165.96	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $5,370.32	Professional		$1,023.29	$1,288.25	$5,370.32
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $38.90 / $38.90 / $38.90	Professional	AS	$38.90	$38.90	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $7,413.10 / $17,378.01	Facility		$1,995.26	$7,413.10	$17,378.01