Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.03 / $5,063.00 / $7,421.00	Facility		$170.03	$5,063.00	$7,421.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,651.82 / $4,800.00 / $9,365.64	Facility		$1,651.82	$4,800.00	$9,365.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.37 / $196.78 / $1,161.00	Professional		$151.37	$196.78	$1,161.00
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $9.67 / $9.67 / $9.67	Professional	80	$9.67	$9.67	$9.67
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $4.84 / $4.84 / $4.84	Professional	AS	$4.84	$4.84	$4.84
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