Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $6,760.83 / $9,549.93	Facility		$4,265.80	$6,760.83	$9,549.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $5,623.41 / $12,302.69	Facility		$2,238.72	$5,623.41	$12,302.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,754.23 / $43,651.58	Facility		$501.19	$2,754.23	$43,651.58
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility	22	$3,311.31	$3,311.31	$3,311.31
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility	52	$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	AS	$275.42	$275.42	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,398.83 / $12,882.50	Professional		$1,621.81	$2,398.83	$12,882.50
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional	22	$4,786.30	$4,786.30	$4,786.30
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional	52	$1,380.38	$1,380.38	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $63.10 / $63.10 / $63.10	Professional	AS	$63.10	$63.10	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $7,413.10 / $19,498.45	Facility		$1,737.80	$7,413.10	$19,498.45