Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,061.00 / $3,391.00 / $6,915.00	Facility		$1,061.00	$3,391.00	$6,915.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $411.76 / $603.35 / $759.18	Facility	52	$411.76	$603.35	$759.18
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 $21,444.09 / $21,444.09 / $21,444.09	Facility		$21,444.09	$21,444.09	$21,444.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $790.08 / $1,027.09 / $1,883.27	Professional		$790.08	$1,027.09	$1,883.27
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $1,043.43 / $1,043.43 / $1,043.43	Professional	52	$1,043.43	$1,043.43	$1,043.43
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $95.40 / $95.40 / $95.40	Professional	80	$95.40	$95.40	$95.40
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