Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $6,456.54 / $15,848.93	Facility		$2,041.74	$6,456.54	$15,848.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,801.89 / $21,379.62	Facility		$724.44	$3,801.89	$21,379.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,344.23 / $9,332.54	Facility		$588.84	$2,344.23	$9,332.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $2,630.27	Professional		$933.25	$1,230.27	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,691.53 / $2,691.53 / $3,467.37	Professional	22	$2,691.53	$2,691.53	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $72.44 / $72.44 / $91.20	Professional	80	$72.44	$72.44	$91.20
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $35.48 / $35.48 / $45.71	Professional	AS	$35.48	$35.48	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $6,606.93 / $19,952.62	Facility		$1,047.13	$6,606.93	$19,952.62