Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $5,370.32 / $9,549.93	Facility		$1,202.26	$5,370.32	$9,549.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,265.80 / $8,709.64	Facility		$1,737.80	$4,265.80	$8,709.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $776.25	Professional		$204.17	$245.47	$776.25
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $144.54 / $144.54 / $144.54	Professional	52	$144.54	$144.54	$144.54
Kaiser Permanente Facility/Professional Professional Modifier 62 Low / Median / High Price $154.88 / $154.88 / $154.88	Professional	62	$154.88	$154.88	$154.88
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $13.18 / $13.18 / $13.18	Professional	80	$13.18	$13.18	$13.18
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $6.61 / $6.61 / $6.61	Professional	AS	$6.61	$6.61	$6.61
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $3,235.94 / $7,943.28	Facility		$575.44	$3,235.94	$7,943.28