Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,370.32 / $7,943.28	Facility		$3,890.45	$5,370.32	$7,943.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,073.80 / $11,220.18	Facility		$1,513.56	$4,073.80	$11,220.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,511.89 / $4,570.88	Facility		$501.19	$2,511.89	$4,570.88
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility	22	$5,495.41	$5,495.41	$5,495.41
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility	62	$2,884.03	$2,884.03	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,801.89 / $14,791.08	Professional		$2,630.27	$3,801.89	$14,791.08
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $12,022.64 / $12,022.64 / $12,022.64	Professional	22	$12,022.64	$12,022.64	$12,022.64
Kaiser Permanente Facility/Professional Professional Modifier 62 Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional	62	$3,715.35	$3,715.35	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $323.59 / $323.59 / $323.59	Professional	80	$323.59	$323.59	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,456.54 / $12,022.64	Facility		$1,737.80	$6,456.54	$12,022.64