Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $5,370.32 / $12,022.64	Facility		$1,659.59	$5,370.32	$12,022.64
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 $1,318.26 / $1,318.26 / $2,187.76	Facility		$1,318.26	$1,318.26	$2,187.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $131.83 / $131.83 / $131.83	Facility	AS	$131.83	$131.83	$131.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $4,265.80	Professional		$812.83	$1,174.90	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $61.66 / $61.66 / $61.66	Professional	80	$61.66	$61.66	$61.66
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $30.90 / $30.90 / $30.90	Professional	AS	$30.90	$30.90	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,456.54 / $12,022.64	Facility		$1,737.80	$6,456.54	$12,022.64