Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $4,466.84 / $8,317.64	Facility		$1,258.93	$4,466.84	$8,317.64
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 / $1,258.93 / $4,786.30	Facility		$1,202.26	$1,258.93	$4,786.30
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 $794.33 / $1,122.02 / $4,168.69	Professional		$794.33	$1,122.02	$4,168.69
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $58.88 / $58.88 / $58.88	Professional	80	$58.88	$58.88	$58.88
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $29.51 / $29.51 / $29.51	Professional	AS	$29.51	$29.51	$29.51
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