Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $6,456.54 / $15,488.17	Facility		$3,019.95	$6,456.54	$15,488.17
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility	22	$6,456.54	$6,456.54	$6,456.54
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 / $616.60 / $1,230.27	Facility		$398.11	$616.60	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $4,073.80	Professional		$1,047.13	$1,348.96	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,090.30 / $3,090.30 / $3,890.45	Professional	22	$3,090.30	$3,090.30	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $81.28 / $81.28 / $104.71	Professional	80	$81.28	$81.28	$104.71
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $40.74 / $40.74 / $52.48	Professional	AS	$40.74	$40.74	$52.48
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