Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,630.78 / $7,413.10	Facility		$794.33	$3,630.78	$7,413.10
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 $616.60 / $616.60 / $2,511.89	Facility		$616.60	$616.60	$2,511.89
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $741.31 / $741.31 / $741.31	Facility	22	$741.31	$741.31	$741.31
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $389.05 / $389.05 / $389.05	Facility	62	$389.05	$389.05	$389.05
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $61.66 / $61.66 / $61.66	Facility	AS	$61.66	$61.66	$61.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $537.03 / $1,995.26	Professional		$371.54	$537.03	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional	22	$1,071.52	$1,071.52	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier 62 Low / Median / High Price $331.13 / $331.13 / $331.13	Professional	62	$331.13	$331.13	$331.13
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $28.84 / $28.84 / $28.84	Professional	80	$28.84	$28.84	$28.84
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $14.13 / $14.13 / $14.13	Professional	AS	$14.13	$14.13	$14.13
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,513.56 / $2,511.89	Facility		$177.83	$1,513.56	$2,511.89