Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,585.78 / $14,454.40	Facility		$3,890.45	$7,585.78	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,388.44 / $8,709.64	Facility		$933.25	$3,388.44	$8,709.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $3,630.78 / $9,772.37	Facility		$616.60	$3,630.78	$9,772.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $1,174.90	Professional		$338.84	$446.68	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $25.70 / $25.70 / $33.11	Professional	80	$25.70	$25.70	$33.11
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $12.88 / $12.88 / $16.22	Professional	AS	$12.88	$12.88	$16.22
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $5,370.32 / $10,964.78	Facility		$741.31	$5,370.32	$10,964.78