Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $5,370.32 / $7,413.10	Facility		$2,041.74	$5,370.32	$7,413.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $5,128.61 / $15,135.61	Facility		$1,737.80	$5,128.61	$15,135.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,877.62 / $21,877.62 / $21,877.62	Facility		$21,877.62	$21,877.62	$21,877.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $977.24 / $3,162.28	Professional		$741.31	$977.24	$3,162.28
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional	22	$3,548.13	$3,548.13	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $95.50 / $95.50 / $95.50	Professional	80	$95.50	$95.50	$95.50
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $47.86 / $47.86 / $47.86	Professional	AS	$47.86	$47.86	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $9,549.93 / $30,902.95	Facility		$2,398.83	$9,549.93	$30,902.95