Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $6,918.31 / $19,952.62	Facility		$2,089.30	$6,918.31	$19,952.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $6,309.57 / $23,988.33	Facility		$2,238.72	$6,309.57	$23,988.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $6,918.31 / $9,772.37	Facility		$2,238.72	$6,918.31	$9,772.37
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility	22	$2,691.53	$2,691.53	$2,691.53
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility	62	$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $223.87 / $223.87 / $223.87	Facility	AS	$223.87	$223.87	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,137.96 / $7,079.46	Professional		$1,479.11	$2,137.96	$7,079.46
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional	22	$3,890.45	$3,890.45	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier 62 Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional	62	$1,230.27	$1,230.27	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $104.71 / $104.71 / $104.71	Professional	80	$104.71	$104.71	$104.71
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $52.48 / $52.48 / $52.48	Professional	AS	$52.48	$52.48	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $8,912.51 / $23,988.33	Facility		$2,290.87	$8,912.51	$23,988.33