Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $7,079.46 / $15,488.17	Facility		$2,884.03	$7,079.46	$15,488.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $4,265.80 / $9,772.37	Facility		$1,174.90	$4,265.80	$9,772.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $616.60 / $1,412.54	Facility		$199.53	$616.60	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $3,467.37	Professional		$1,348.96	$1,737.80	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,890.45 / $3,890.45 / $4,897.79	Professional	22	$3,890.45	$3,890.45	$4,897.79
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $102.33 / $102.33 / $131.83	Professional	80	$102.33	$102.33	$131.83
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $51.29 / $51.29 / $66.07	Professional	AS	$51.29	$51.29	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $5,370.32 / $10,964.78	Facility		$758.58	$5,370.32	$10,964.78