Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,897.79 / $7,943.28	Facility		$1,513.56	$4,897.79	$7,943.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,630.78 / $6,918.31	Facility		$1,548.82	$3,630.78	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $851.14 / $1,621.81	Professional		$707.95	$851.14	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $61.66 / $61.66 / $61.66	Professional	80	$61.66	$61.66	$61.66
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $30.90 / $30.90 / $30.90	Professional	AS	$30.90	$30.90	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $5,754.40 / $8,511.38	Facility		$1,513.56	$5,754.40	$8,511.38