Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.81 / $5,063.00 / $9,512.00	Facility		$389.81	$5,063.00	$9,512.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,537.06 / $3,177.89 / $5,214.41	Facility		$1,537.06	$3,177.89	$5,214.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.51 / $317.86 / $421.76	Professional		$244.51	$317.86	$421.76
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $19.72 / $19.72 / $19.72	Professional	80	$19.72	$19.72	$19.72
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $9.86 / $9.86 / $9.86	Professional	AS	$9.86	$9.86	$9.86
United Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $1,550.00 / $2,665.00	Facility		$212.00	$1,550.00	$2,665.00