Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,520.74 / $5,063.00 / $9,488.00	Facility		$1,520.74	$5,063.00	$9,488.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,732.27 / $6,959.71 / $17,687.80	Facility		$1,732.27	$6,959.71	$17,687.80
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 $1,364.19 / $1,773.45 / $3,169.77	Professional		$1,364.19	$1,773.45	$3,169.77
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,268.87 / $3,268.87 / $3,268.87	Professional	22	$3,268.87	$3,268.87	$3,268.87
Kaiser Permanente Facility/Professional Professional Modifier 62 Low / Median / High Price $1,021.52 / $1,021.52 / $1,021.52	Professional	62	$1,021.52	$1,021.52	$1,021.52
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $87.17 / $87.17 / $87.17	Professional	80	$87.17	$87.17	$87.17
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $43.58 / $43.58 / $43.58	Professional	AS	$43.58	$43.58	$43.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $3,372.00 / $8,133.00	Facility		$1,162.00	$3,372.00	$8,133.00