Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,677.35 / $9,549.93	Facility		$1,778.28	$4,677.35	$9,549.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $6,025.60 / $12,302.69	Facility		$2,238.72	$6,025.60	$12,302.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $4,677.35	Facility		$3,019.95	$3,019.95	$4,677.35
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility	22	$3,630.78	$3,630.78	$3,630.78
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $302.00 / $302.00 / $302.00	Facility	AS	$302.00	$302.00	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,754.23 / $9,772.37	Professional		$1,905.46	$2,754.23	$9,772.37
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Professional	22	$6,165.95	$6,165.95	$6,165.95
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $162.18 / $162.18 / $162.18	Professional	80	$162.18	$162.18	$162.18
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $81.28 / $81.28 / $81.28	Professional	AS	$81.28	$81.28	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $7,585.78 / $17,378.01	Facility		$1,995.26	$7,585.78	$17,378.01