Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $5,623.41 / $9,549.93	Facility		$2,630.27	$5,623.41	$9,549.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,162.28 / $6,025.60	Facility		$1,230.27	$3,162.28	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,570.40	Facility		$2,511.89	$2,511.89	$2,570.40
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility	22	$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility	62	$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $257.04 / $257.04 / $257.04	Facility	AS	$257.04	$257.04	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $8,317.64	Professional		$1,659.59	$2,137.96	$8,317.64
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Professional	22	$4,570.88	$4,570.88	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier 62 Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional	62	$1,412.54	$1,412.54	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $120.23 / $120.23 / $120.23	Professional	80	$120.23	$120.23	$120.23
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $60.26 / $60.26 / $60.26	Professional	AS	$60.26	$60.26	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $7,762.47 / $17,378.01	Facility		$1,995.26	$7,762.47	$17,378.01