Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $9,549.93 / $15,488.17	Facility		$2,818.38	$9,549.93	$15,488.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $4,677.35 / $22,387.21	Facility		$1,174.90	$4,677.35	$22,387.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $831.76 / $9,332.54	Facility		$398.11	$831.76	$9,332.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $4,365.16	Professional		$1,698.24	$2,187.76	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $4,786.30 / $4,786.30 / $6,165.95	Professional	22	$4,786.30	$4,786.30	$6,165.95
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $128.82 / $128.82 / $165.96	Professional	80	$128.82	$128.82	$165.96
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $64.57 / $64.57 / $83.18	Professional	AS	$64.57	$64.57	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $6,309.57 / $18,620.87	Facility		$870.96	$6,309.57	$18,620.87