Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $6,456.54 / $10,964.78	Facility		$2,884.03	$6,456.54	$10,964.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,162.28 / $6,025.60	Facility		$1,230.27	$3,162.28	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,290.87 / $2,511.89	Facility		$501.19	$2,290.87	$2,511.89
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility	22	$2,754.23	$2,754.23	$2,754.23
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $229.09 / $229.09 / $229.09	Facility	AS	$229.09	$229.09	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $7,413.10	Professional		$1,380.38	$1,905.46	$7,413.10
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional	22	$3,981.07	$3,981.07	$3,981.07
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $104.71 / $104.71 / $104.71	Professional	80	$104.71	$104.71	$104.71
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $52.48 / $52.48 / $52.48	Professional	AS	$52.48	$52.48	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,918.31 / $12,022.64	Facility		$1,737.80	$6,918.31	$12,022.64