Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,623.41 / $9,549.93	Facility		$1,584.89	$5,623.41	$9,549.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,162.28 / $6,760.83	Facility		$851.14	$3,162.28	$6,760.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $588.84 / $831.76	Facility		$199.53	$588.84	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $2,630.27	Professional		$1,122.02	$1,445.44	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,570.40 / $2,570.40 / $4,570.88	Professional	22	$2,570.40	$2,570.40	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $69.18 / $69.18 / $123.03	Professional	80	$69.18	$69.18	$123.03
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $34.67 / $34.67 / $61.66	Professional	AS	$34.67	$34.67	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $2,511.89 / $7,079.46	Facility		$398.11	$2,511.89	$7,079.46