Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,623.41 / $9,549.93	Facility		$3,235.94	$5,623.41	$9,549.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,365.16 / $10,000.00	Facility		$1,513.56	$4,365.16	$10,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $7,413.10	Professional		$1,995.26	$2,570.40	$7,413.10
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Professional	22	$5,248.07	$5,248.07	$5,248.07
Kaiser Permanente Facility/Professional Professional Modifier 62 Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional	62	$1,621.81	$1,621.81	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $138.04 / $138.04 / $138.04	Professional	80	$138.04	$138.04	$138.04
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $69.18 / $69.18 / $69.18	Professional	AS	$69.18	$69.18	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,235.94 / $7,943.28	Facility		$602.56	$3,235.94	$7,943.28