Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,458.77 / $5,063.00 / $7,421.00	Facility		$1,458.77	$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
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 $1,310.08 / $1,703.12 / $4,787.00	Professional		$1,310.08	$1,703.12	$4,787.00
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,139.25 / $3,139.25 / $3,139.25	Professional	22	$3,139.25	$3,139.25	$3,139.25
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $83.71 / $83.71 / $83.71	Professional	80	$83.71	$83.71	$83.71
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $41.86 / $41.86 / $41.86	Professional	AS	$41.86	$41.86	$41.86
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