Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $5,128.61 / $7,413.10	Facility		$1,174.90	$5,128.61	$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 $1,230.27 / $2,290.87 / $4,786.30	Facility		$1,230.27	$2,290.87	$4,786.30
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 / $1,000.00 / $3,981.07	Professional		$758.58	$1,000.00	$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 $1,995.26 / $7,413.10 / $17,378.01	Facility		$1,995.26	$7,413.10	$17,378.01