Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,512.58 / $5,045.00 / $6,915.00	Facility		$1,512.58	$5,045.00	$6,915.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $444.44 / $685.39 / $863.42	Facility	52	$444.44	$685.39	$863.42
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 $21,419.57 / $21,419.57 / $21,419.57	Facility		$21,419.57	$21,419.57	$21,419.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $847.11 / $1,101.24 / $2,488.26	Professional		$847.11	$1,101.24	$2,488.26
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,835.73 / $3,835.73 / $3,835.73	Professional	22	$3,835.73	$3,835.73	$3,835.73
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $1,118.75 / $1,118.75 / $1,118.75	Professional	52	$1,118.75	$1,118.75	$1,118.75
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $102.29 / $102.29 / $102.29	Professional	80	$102.29	$102.29	$102.29
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $51.14 / $51.14 / $51.14	Professional	AS	$51.14	$51.14	$51.14
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