Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $5,623.41 / $10,964.78	Facility		$489.78	$5,623.41	$10,964.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,897.79 / $10,232.93	Facility		$1,737.80	$4,897.79	$10,232.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $257.04 / $630.96	Professional		$204.17	$257.04	$630.96
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $14.45 / $14.45 / $14.45	Professional	80	$14.45	$14.45	$14.45
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $7.24 / $7.24 / $7.24	Professional	AS	$7.24	$7.24	$7.24
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