Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,623.41 / $9,549.93	Facility		$2,884.03	$5,623.41	$9,549.93
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 $501.19 / $2,511.89 / $3,162.28	Facility		$501.19	$2,511.89	$3,162.28
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $316.23 / $316.23 / $316.23	Facility	AS	$316.23	$316.23	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,754.23 / $10,471.29	Professional		$1,905.46	$2,754.23	$10,471.29
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $218.78 / $218.78 / $218.78	Professional	80	$218.78	$218.78	$218.78
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $109.65 / $109.65 / $109.65	Professional	AS	$109.65	$109.65	$109.65
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