Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $4,570.88 / $7,943.28	Facility		$1,071.52	$4,570.88	$7,943.28
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 $1,047.13 / $1,202.26 / $6,918.31	Facility		$1,047.13	$1,202.26	$6,918.31
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $104.71 / $104.71 / $104.71	Facility	AS	$104.71	$104.71	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,023.29 / $4,897.79	Professional		$645.65	$1,023.29	$4,897.79
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $48.98 / $48.98 / $63.10	Professional	80	$48.98	$48.98	$63.10
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $23.99 / $23.99 / $31.62	Professional	AS	$23.99	$23.99	$31.62
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