Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,760.83 / $13,803.84	Facility		$2,570.40	$6,760.83	$13,803.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,025.60 / $14,454.40	Facility		$2,187.76	$6,025.60	$14,454.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $7,244.36 / $13,489.63	Facility		$4,168.69	$7,244.36	$13,489.63
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $169.82 / $169.82 / $169.82	Facility	AS	$169.82	$169.82	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $8,317.64	Professional		$1,047.13	$1,513.56	$8,317.64
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $38.90 / $38.90 / $38.90	Professional	AS	$38.90	$38.90	$38.90
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