Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,630.27 / $7,585.78	Facility		$741.31	$2,630.27	$7,585.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,890.45 / $11,220.18	Facility		$1,202.26	$3,890.45	$11,220.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,202.26 / $6,606.93	Facility		$851.14	$1,202.26	$6,606.93
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $120.23 / $120.23 / $120.23	Facility	AS	$120.23	$120.23	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $3,981.07	Professional		$758.58	$977.24	$3,981.07
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $56.23 / $56.23 / $56.23	Professional	80	$56.23	$56.23	$56.23
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $27.54 / $27.54 / $27.54	Professional	AS	$27.54	$27.54	$27.54
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