Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $7,413.10 / $15,488.17	Facility		$3,630.78	$7,413.10	$15,488.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $5,623.41 / $12,022.64	Facility		$2,238.72	$5,623.41	$12,022.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $16,218.10 / $24,547.09	Facility		$9,120.11	$16,218.10	$24,547.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $4,570.88	Professional		$1,096.48	$1,445.44	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Professional	22	$6,606.93	$6,606.93	$6,606.93
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional	52	$1,949.84	$1,949.84	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier 62 Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional	62	$2,089.30	$2,089.30	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $177.83 / $177.83 / $177.83	Professional	80	$177.83	$177.83	$177.83
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $89.13 / $89.13 / $89.13	Professional	AS	$89.13	$89.13	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $8,912.51 / $19,498.45	Facility		$2,290.87	$8,912.51	$19,498.45