Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,743.37 / $5,045.00 / $6,915.00	Facility		$1,743.37	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.82 / $4,800.00 / $9,365.64	Facility		$1,651.82	$4,800.00	$9,365.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,570.40 / $2,041.52 / $3,789.80	Professional		$1,570.40	$2,041.52	$3,789.80
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $50.17 / $50.17 / $50.17	Professional	AS	$50.17	$50.17	$50.17
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,629.00 / $10,000.00	Facility		$607.00	$3,629.00	$10,000.00