Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,630.78 / $7,413.10	Facility		$794.33	$3,630.78	$7,413.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $5,128.61 / $14,791.08	Facility		$794.33	$5,128.61	$14,791.08
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 $707.95 / $912.01 / $3,801.89	Professional		$707.95	$912.01	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Professional	22	$3,388.44	$3,388.44	$3,388.44
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
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $44.67 / $44.67 / $44.67	Professional	AS	$44.67	$44.67	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $9,549.93 / $22,908.68	Facility		$2,398.83	$9,549.93	$22,908.68