Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $8,317.64	Facility		$1,698.24	$5,495.41	$8,317.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,265.80 / $12,022.64	Facility		$1,513.56	$4,265.80	$12,022.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $12,022.64	Facility		$1,202.26	$1,513.56	$12,022.64
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility	22	$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $151.36 / $151.36 / $151.36	Facility	AS	$151.36	$151.36	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $4,897.79	Professional		$933.25	$1,318.26	$4,897.79
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional	22	$2,630.27	$2,630.27	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $69.18 / $69.18 / $69.18	Professional	80	$69.18	$69.18	$69.18
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $34.67 / $34.67 / $34.67	Professional	AS	$34.67	$34.67	$34.67
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