Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,165.95 / $11,481.54	Facility		$2,570.40	$6,165.95	$11,481.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,630.78 / $6,918.31	Facility		$1,202.26	$3,630.78	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,380.38 / $4,570.88	Facility		$512.86	$1,380.38	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $3,311.31	Professional		$1,047.13	$1,380.38	$3,311.31
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,311.31 / $3,311.31 / $4,168.69	Professional	22	$3,311.31	$3,311.31	$4,168.69
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $87.10 / $87.10 / $112.20	Professional	80	$87.10	$87.10	$112.20
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $43.65 / $43.65 / $56.23	Professional	AS	$43.65	$43.65	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $5,370.32 / $10,964.78	Facility		$758.58	$5,370.32	$10,964.78