Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $5,370.32 / $7,943.28	Facility		$1,202.26	$5,370.32	$7,943.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,090.30 / $6,025.60	Facility		$1,318.26	$3,090.30	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,258.93 / $2,187.76	Facility		$1,202.26	$1,258.93	$2,187.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $125.89 / $125.89 / $125.89	Facility	AS	$125.89	$125.89	$125.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $4,265.80	Professional		$831.76	$1,122.02	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $30.20 / $30.20 / $30.20	Professional	AS	$30.20	$30.20	$30.20
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