Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $8,128.31 / $12,882.50	Facility		$4,168.69	$8,128.31	$12,882.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,897.79 / $8,709.64	Facility		$1,819.70	$4,897.79	$8,709.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,244.36 / $10,000.00	Facility		$5,011.87	$7,244.36	$10,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $5,370.32	Professional		$1,258.93	$1,659.59	$5,370.32
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional	22	$3,311.31	$3,311.31	$3,311.31
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $89.13 / $89.13 / $89.13	Professional	80	$89.13	$89.13	$89.13
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