Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,952.12 / $5,063.00 / $6,915.00	Facility		$1,952.12	$5,063.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $4,431.64 / $11,609.07	Facility		$1,206.01	$4,431.64	$11,609.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,460.48 / $2,784.76 / $5,543.06	Professional		$2,460.48	$2,784.76	$5,543.06
Kaiser Permanente Facility/Professional Professional Modifier 62 Low / Median / High Price $3,326.79 / $3,326.79 / $3,326.79	Professional	62	$3,326.79	$3,326.79	$3,326.79
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $283.89 / $283.89 / $283.89	Professional	80	$283.89	$283.89	$283.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,886.00 / $7,889.00	Facility		$1,200.00	$4,886.00	$7,889.00