Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $4,570.88 / $7,943.28	Facility		$602.56	$4,570.88	$7,943.28
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 / $616.60 / $831.76	Facility		$199.53	$616.60	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $1,000.00	Professional		$323.59	$426.58	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier 62 Low / Median / High Price $302.00 / $302.00 / $389.05	Professional	62	$302.00	$302.00	$389.05
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 / $16.60	Professional	AS	$12.88	$12.88	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,311.31 / $10,964.78	Facility		$741.31	$3,311.31	$10,964.78