Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $8,912.51 / $15,488.17	Facility		$4,365.16	$8,912.51	$15,488.17
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $12,882.50 / $12,882.50 / $12,882.50	Facility	22	$12,882.50	$12,882.50	$12,882.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $4,786.30 / $12,022.64	Facility		$1,288.25	$4,786.30	$12,022.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $831.76 / $9,772.37	Facility		$501.19	$831.76	$9,772.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $5,623.41	Professional		$1,479.11	$1,905.46	$5,623.41
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $4,265.80 / $4,265.80 / $5,495.41	Professional	22	$4,265.80	$4,265.80	$5,495.41
Kaiser Permanente Facility/Professional Professional Modifier 62 Low / Median / High Price $1,318.26 / $1,318.26 / $1,698.24	Professional	62	$1,318.26	$1,318.26	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $114.82 / $114.82 / $144.54	Professional	80	$114.82	$114.82	$144.54
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $56.23 / $56.23 / $72.44	Professional	AS	$56.23	$56.23	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $6,309.57 / $15,848.93	Facility		$870.96	$6,309.57	$15,848.93