Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,570.88 / $7,943.28	Facility		$1,778.28	$4,570.88	$7,943.28
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,248.07 / $9,120.11 / $9,120.11	Facility	50	$5,248.07	$9,120.11	$9,120.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,467.37 / $5,754.40	Facility		$1,148.15	$3,467.37	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,380.38 / $2,137.96	Facility		$512.86	$1,380.38	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $1,479.11	Professional		$630.96	$812.83	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $1,778.28 / $1,778.28 / $2,290.87	Professional	22	$1,778.28	$1,778.28	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $47.86 / $47.86 / $60.26	Professional	80	$47.86	$47.86	$60.26
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $23.44 / $23.44 / $30.20	Professional	AS	$23.44	$23.44	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $4,677.35 / $8,511.38	Facility		$660.69	$4,677.35	$8,511.38