Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.54 / $5,045.00 / $7,857.00	Facility		$1,386.54	$5,045.00	$7,857.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $6,936.00 / $27,870.19	Facility		$1,282.27	$6,936.00	$27,870.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,823.57 / $21,823.57 / $21,823.57	Facility		$21,823.57	$21,823.57	$21,823.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $792.57 / $1,030.33 / $3,178.99	Professional		$792.57	$1,030.33	$3,178.99
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,588.76 / $3,588.76 / $3,588.76	Professional	22	$3,588.76	$3,588.76	$3,588.76
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $95.70 / $95.70 / $95.70	Professional	80	$95.70	$95.70	$95.70
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $47.85 / $47.85 / $47.85	Professional	AS	$47.85	$47.85	$47.85
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