Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $5,128.61 / $7,943.28	Facility		$1,862.09	$5,128.61	$7,943.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,162.28 / $6,025.60	Facility		$1,230.27	$3,162.28	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $2,187.76	Facility		$1,000.00	$1,230.27	$2,187.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $123.03 / $123.03 / $123.03	Facility	AS	$123.03	$123.03	$123.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $3,981.07	Professional		$758.58	$1,047.13	$3,981.07
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $28.84 / $28.84 / $28.84	Professional	AS	$28.84	$28.84	$28.84
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