Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,370.32 / $9,549.93	Facility		$2,290.87	$5,370.32	$9,549.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,897.79 / $10,232.93	Facility		$1,737.80	$4,897.79	$10,232.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $2,884.03	Professional		$1,621.81	$1,949.84	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional	22	$3,890.45	$3,890.45	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $104.71 / $104.71 / $104.71	Professional	80	$104.71	$104.71	$104.71
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $51.29 / $51.29 / $51.29	Professional	AS	$51.29	$51.29	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $8,912.51 / $19,498.45	Facility		$2,290.87	$8,912.51	$19,498.45