Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $5,045.00 / $6,915.00	Facility		$1,438.00	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,325.76 / $8,967.21 / $21,657.35	Facility		$2,325.76	$8,967.21	$21,657.35
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 $1,419.47 / $1,987.26 / $3,475.38	Professional		$1,419.47	$1,987.26	$3,475.38
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $65.68 / $65.68 / $65.68	Professional	AS	$65.68	$65.68	$65.68
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