Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $4,786.30 / $19,952.62	Facility		$912.01	$4,786.30	$19,952.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $20,417.38 / $25,703.96	Facility		$6,456.54	$20,417.38	$25,703.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $2,290.87	Facility		$549.54	$549.54	$2,290.87
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $660.69 / $660.69 / $660.69	Facility	22	$660.69	$660.69	$660.69
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $346.74 / $346.74 / $346.74	Facility	62	$346.74	$346.74	$346.74
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $54.95 / $54.95 / $54.95	Facility	AS	$54.95	$54.95	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $1,778.28	Professional		$331.13	$478.63	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $954.99 / $954.99 / $954.99	Professional	22	$954.99	$954.99	$954.99
Kaiser Permanente Facility/Professional Professional Modifier 62 Low / Median / High Price $295.12 / $295.12 / $295.12	Professional	62	$295.12	$295.12	$295.12
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $25.70 / $25.70 / $25.70	Professional	80	$25.70	$25.70	$25.70
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $12.59 / $12.59 / $12.59	Professional	AS	$12.59	$12.59	$12.59
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