Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,370.32 / $7,943.28	Facility		$1,412.54	$5,370.32	$7,943.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,890.45 / $11,220.18	Facility		$1,513.56	$3,890.45	$11,220.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,288.25 / $4,786.30	Facility		$1,202.26	$1,288.25	$4,786.30
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $128.82 / $128.82 / $128.82	Facility	AS	$128.82	$128.82	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $4,168.69	Professional		$794.33	$1,148.15	$4,168.69
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $29.51 / $29.51 / $29.51	Professional	AS	$29.51	$29.51	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $5,623.41 / $8,511.38	Facility		$1,513.56	$5,623.41	$8,511.38