Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $8,317.64 / $23,442.29	Facility		$3,235.94	$8,317.64	$23,442.29
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $7,413.10 / $11,748.98 / $12,589.25	Facility	52	$7,413.10	$11,748.98	$12,589.25
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 / $2,398.83 / $53,703.18	Facility		$501.19	$2,398.83	$53,703.18
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility	22	$2,884.03	$2,884.03	$2,884.03
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility	52	$1,905.46	$1,905.46	$1,905.46
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $239.88 / $239.88 / $239.88	Facility	AS	$239.88	$239.88	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $11,220.18	Professional		$1,445.44	$2,089.30	$11,220.18
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional	22	$4,168.69	$4,168.69	$4,168.69
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional	52	$1,202.26	$1,202.26	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $109.65 / $109.65 / $109.65	Professional	80	$109.65	$109.65	$109.65
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $54.95 / $54.95 / $54.95	Professional	AS	$54.95	$54.95	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $9,332.54 / $25,118.86	Facility		$2,884.03	$9,332.54	$25,118.86