Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,944.00 / $5,063.00 / $6,915.00	Facility		$1,944.00	$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 $2,443.52 / $2,766.84 / $6,492.98	Professional		$2,443.52	$2,766.84	$6,492.98
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $10,572.35 / $10,572.35 / $10,572.35	Professional	22	$10,572.35	$10,572.35	$10,572.35
Kaiser Permanente Facility/Professional Professional Modifier 62 Low / Median / High Price $3,303.86 / $3,303.86 / $3,303.86	Professional	62	$3,303.86	$3,303.86	$3,303.86
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $281.93 / $281.93 / $281.93	Professional	80	$281.93	$281.93	$281.93
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $140.96 / $140.96 / $140.96	Professional	AS	$140.96	$140.96	$140.96
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