Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $7,413.10 / $24,547.09	Facility		$3,388.44	$7,413.10	$24,547.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $5,623.41 / $20,892.96	Facility		$2,187.76	$5,623.41	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $3,235.94 / $53,703.18	Facility		$501.19	$3,235.94	$53,703.18
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility	22	$3,890.45	$3,890.45	$3,890.45
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility	52	$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $323.59 / $323.59 / $323.59	Facility	AS	$323.59	$323.59	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,951.21 / $15,135.61	Professional		$1,905.46	$2,951.21	$15,135.61
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Professional	22	$8,317.64	$8,317.64	$8,317.64
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional	52	$2,398.83	$2,398.83	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $218.78 / $218.78 / $218.78	Professional	80	$218.78	$218.78	$218.78
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $109.65 / $109.65 / $109.65	Professional	AS	$109.65	$109.65	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $9,772.37 / $25,118.86	Facility		$2,884.03	$9,772.37	$25,118.86