Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,374.00 / $5,063.00 / $10,139.00	Facility		$1,374.00	$5,063.00	$10,139.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,406.20 / $4,415.29 / $8,702.00	Facility		$1,406.20	$4,415.29	$8,702.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,185.25 / $3,185.25 / $3,185.25	Facility		$3,185.25	$3,185.25	$3,185.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $808.38 / $1,050.89 / $4,834.91	Professional		$808.38	$1,050.89	$4,834.91
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $1,990.46 / $1,990.46 / $1,990.46	Professional	22	$1,990.46	$1,990.46	$1,990.46
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $53.08 / $53.08 / $53.08	Professional	80	$53.08	$53.08	$53.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00