Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $5,370.32 / $9,549.93	Facility		$2,041.74	$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 $1,202.26 / $1,548.82 / $2,884.03	Professional		$1,202.26	$1,548.82	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,467.37 / $3,467.37 / $4,365.16	Professional	22	$3,467.37	$3,467.37	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $1,000.00 / $1,000.00 / $1,288.25	Professional	52	$1,000.00	$1,000.00	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $91.20 / $91.20 / $117.49	Professional	80	$91.20	$91.20	$117.49
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $45.71 / $45.71 / $58.88	Professional	AS	$45.71	$45.71	$58.88
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