Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,370.32 / $9,549.93	Facility		$2,290.87	$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 $1,513.56 / $1,949.84 / $3,801.89	Professional		$1,513.56	$1,949.84	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $4,365.16 / $4,365.16 / $5,623.41	Professional	22	$4,365.16	$4,365.16	$5,623.41
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $117.49 / $117.49 / $147.91	Professional	80	$117.49	$117.49	$147.91
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $58.88 / $58.88 / $74.13	Professional	AS	$58.88	$58.88	$74.13
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