Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $2,691.53 / $7,079.46	Facility		$398.11	$2,691.53	$7,079.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,819.70 / $3,548.13	Facility		$741.31	$1,819.70	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $602.56 / $645.65	Facility		$177.83	$602.56	$645.65
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $416.87 / $416.87 / $416.87	Facility	54	$416.87	$416.87	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $2,691.53	Professional		$457.09	$616.60	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $489.78 / $489.78 / $537.03	Professional	54	$489.78	$489.78	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,479.11 / $2,511.89	Facility		$177.83	$1,479.11	$2,511.89