Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.03 / $5,045.00 / $6,915.00	Facility		$1,203.03	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,538.99 / $5,842.74 / $15,411.81	Facility		$1,538.99	$5,842.74	$15,411.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,143.88 / $1,487.04 / $3,615.84	Professional		$1,143.88	$1,487.04	$3,615.84
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $6,502.72 / $6,502.72 / $6,502.72	Professional	22	$6,502.72	$6,502.72	$6,502.72
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $173.41 / $173.41 / $173.41	Professional	80	$173.41	$173.41	$173.41
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,629.00 / $10,000.00	Facility		$607.00	$3,629.00	$10,000.00