Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,623.41 / $8,912.51	Facility		$2,290.87	$5,623.41	$8,912.51
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,120.11 / $9,120.11 / $13,182.57	Facility	50	$9,120.11	$9,120.11	$13,182.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,801.89 / $9,772.37	Facility		$1,445.44	$3,801.89	$9,772.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility		$3,388.44	$3,388.44	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $2,511.89	Professional		$1,174.90	$1,412.54	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional	22	$2,754.23	$2,754.23	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $72.44 / $72.44 / $72.44	Professional	80	$72.44	$72.44	$72.44
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $36.31 / $36.31 / $36.31	Professional	AS	$36.31	$36.31	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,918.31 / $12,022.64	Facility		$1,737.80	$6,918.31	$12,022.64