Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $7,079.46 / $23,988.33	Facility		$3,388.44	$7,079.46	$23,988.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,309.57 / $20,892.96	Facility		$2,187.76	$6,309.57	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,511.89 / $53,703.18	Facility		$501.19	$2,511.89	$53,703.18
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility	22	$3,019.95	$3,019.95	$3,019.95
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility	52	$1,995.26	$1,995.26	$1,995.26
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $251.19 / $251.19 / $251.19	Facility	AS	$251.19	$251.19	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,238.72 / $11,481.54	Professional		$1,479.11	$2,238.72	$11,481.54
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional	22	$4,365.16	$4,365.16	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional	52	$1,258.93	$1,258.93	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $114.82 / $114.82 / $114.82	Professional	80	$114.82	$114.82	$114.82
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $57.54 / $57.54 / $57.54	Professional	AS	$57.54	$57.54	$57.54
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