Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,715.35 / $7,413.10	Facility		$891.25	$3,715.35	$7,413.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,570.40 / $4,786.30	Facility		$1,000.00	$2,570.40	$4,786.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,918.31 / $9,772.37	Facility		$2,511.89	$6,918.31	$9,772.37
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 $380.19 / $380.19 / $380.19	Facility	62	$380.19	$380.19	$380.19
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 $363.08 / $524.81 / $1,995.26	Professional		$363.08	$524.81	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional	22	$1,047.13	$1,047.13	$1,047.13
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 $28.18 / $28.18 / $28.18	Professional	80	$28.18	$28.18	$28.18
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 / $3,235.94	Facility		$177.83	$1,513.56	$3,235.94