Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $5,370.32 / $9,549.93	Facility		$1,737.80	$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 $199.53 / $588.84 / $831.76	Facility		$199.53	$588.84	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $3,890.45	Professional		$1,548.82	$2,041.74	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $4,570.88 / $4,570.88 / $5,754.40	Professional	22	$4,570.88	$4,570.88	$5,754.40
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $1,318.26 / $1,318.26 / $1,698.24	Professional	52	$1,318.26	$1,318.26	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $120.23 / $120.23 / $154.88	Professional	80	$120.23	$120.23	$154.88
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $60.26 / $60.26 / $77.62	Professional	AS	$60.26	$60.26	$77.62
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