Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.51 / $5,063.00 / $9,036.00	Facility		$233.51	$5,063.00	$9,036.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $116.76 / $116.76 / $192.27	Facility	52	$116.76	$116.76	$192.27
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 $208.17 / $270.62 / $1,030.00	Professional		$208.17	$270.62	$1,030.00
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $145.49 / $145.49 / $145.49	Professional	52	$145.49	$145.49	$145.49
Kaiser Permanente Facility/Professional Professional Modifier 62 Low / Median / High Price $155.88 / $155.88 / $155.88	Professional	62	$155.88	$155.88	$155.88
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $13.30 / $13.30 / $13.30	Professional	80	$13.30	$13.30	$13.30
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $6.65 / $6.65 / $6.65	Professional	AS	$6.65	$6.65	$6.65
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