Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $7,762.47 / $15,488.17	Facility		$2,884.03	$7,762.47	$15,488.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $5,623.41 / $12,022.64	Facility		$2,238.72	$5,623.41	$12,022.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $7,244.36 / $10,000.00	Facility		$4,168.69	$7,244.36	$10,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $3,090.30	Professional		$1,122.02	$1,479.11	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional	22	$2,951.21	$2,951.21	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $79.43 / $79.43 / $79.43	Professional	80	$79.43	$79.43	$79.43
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $39.81 / $39.81 / $39.81	Professional	AS	$39.81	$39.81	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $7,762.47 / $17,378.01	Facility		$1,995.26	$7,762.47	$17,378.01