Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,223.12 / $5,063.00 / $6,915.00	Facility		$2,223.12	$5,063.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,538.99 / $5,842.74 / $15,411.81	Facility		$1,538.99	$5,842.74	$15,411.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,125.75 / $2,763.48 / $7,382.45	Professional		$2,125.75	$2,763.48	$7,382.45
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $5,234.22 / $5,234.22 / $5,234.22	Professional	22	$5,234.22	$5,234.22	$5,234.22
Kaiser Permanente Facility/Professional Professional Modifier 62 Low / Median / High Price $1,635.69 / $1,635.69 / $1,635.69	Professional	62	$1,635.69	$1,635.69	$1,635.69
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $139.58 / $139.58 / $139.58	Professional	80	$139.58	$139.58	$139.58
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $69.79 / $69.79 / $69.79	Professional	AS	$69.79	$69.79	$69.79
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,629.00 / $10,000.00	Facility		$607.00	$3,629.00	$10,000.00