Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $7,413.10 / $15,488.17	Facility		$3,019.95	$7,413.10	$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 $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 $1,258.93 / $1,659.59 / $3,890.45	Professional		$1,258.93	$1,659.59	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,715.35 / $3,715.35 / $4,677.35	Professional	22	$3,715.35	$3,715.35	$4,677.35
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $97.72 / $97.72 / $125.89	Professional	80	$97.72	$97.72	$125.89
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $48.98 / $48.98 / $63.10	Professional	AS	$48.98	$48.98	$63.10
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