Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,370.32 / $9,549.93	Facility		$2,570.40	$5,370.32	$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 $501.19 / $616.60 / $831.76	Facility		$501.19	$616.60	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $4,677.35	Professional		$1,949.84	$2,511.89	$4,677.35
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $5,623.41 / $5,623.41 / $7,244.36	Professional	22	$5,623.41	$5,623.41	$7,244.36
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $151.36 / $151.36 / $190.55	Professional	80	$151.36	$151.36	$190.55
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $75.86 / $75.86 / $95.50	Professional	AS	$75.86	$75.86	$95.50
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