Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,630.78 / $7,413.10	Facility		$1,071.52	$3,630.78	$7,413.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility		$7,943.28	$7,943.28	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,238.72 / $58,884.37	Facility		$389.05	$2,238.72	$58,884.37
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $245.47 / $245.47 / $245.47	Facility	62	$245.47	$245.47	$245.47
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $38.90 / $38.90 / $38.90	Facility	AS	$38.90	$38.90	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $309.03 / $1,122.02	Professional		$223.87	$309.03	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier 62 Low / Median / High Price $245.47 / $245.47 / $245.47	Professional	62	$245.47	$245.47	$245.47
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $20.89 / $20.89 / $20.89	Professional	80	$20.89	$20.89	$20.89
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $10.47 / $10.47 / $10.47	Professional	AS	$10.47	$10.47	$10.47
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,513.56 / $2,511.89	Facility		$177.83	$1,513.56	$2,511.89