Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,370.32 / $7,585.78	Facility		$1,698.24	$5,370.32	$7,585.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,890.45 / $11,220.18	Facility		$1,513.56	$3,890.45	$11,220.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,318.26 / $4,786.30	Facility		$1,202.26	$1,318.26	$4,786.30
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $131.83 / $131.83 / $131.83	Facility	AS	$131.83	$131.83	$131.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $4,265.80	Professional		$812.83	$1,148.15	$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