Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.48 / $3,391.00 / $6,915.00	Facility		$771.48	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $787.78 / $6,936.00 / $21,103.55	Facility		$787.78	$6,936.00	$21,103.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,186.00 / $7,258.00 / $10,047.00	Facility		$4,186.00	$7,258.00	$10,047.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $743.52 / $966.58 / $3,776.76	Professional		$743.52	$966.58	$3,776.76
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,366.67 / $3,366.67 / $3,366.67	Professional	22	$3,366.67	$3,366.67	$3,366.67
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $89.78 / $89.78 / $89.78	Professional	80	$89.78	$89.78	$89.78
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $44.89 / $44.89 / $44.89	Professional	AS	$44.89	$44.89	$44.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,423.00 / $10,999.00 / $33,931.00	Facility		$2,423.00	$10,999.00	$33,931.00