Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,608.67 / $5,045.00 / $6,915.00	Facility		$1,608.67	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,226.13 / $6,105.48 / $13,137.87	Facility		$2,226.13	$6,105.48	$13,137.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.30 / $1,878.89 / $3,427.07	Professional		$1,445.30	$1,878.89	$3,427.07
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,463.24 / $3,463.24 / $3,463.24	Professional	22	$3,463.24	$3,463.24	$3,463.24
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $92.35 / $92.35 / $92.35	Professional	80	$92.35	$92.35	$92.35
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $46.18 / $46.18 / $46.18	Professional	AS	$46.18	$46.18	$46.18
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,629.00 / $10,000.00	Facility		$607.00	$3,629.00	$10,000.00