Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,124.08 / $5,063.00 / $7,585.00	Facility		$1,124.08	$5,063.00	$7,585.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,226.13 / $6,105.48 / $13,137.87	Facility		$2,226.13	$6,105.48	$13,137.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,942.88 / $3,942.88 / $3,942.88	Facility		$3,942.88	$3,942.88	$3,942.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $688.36 / $894.87 / $1,163.33	Professional		$688.36	$894.87	$1,163.33
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $55.51 / $55.51 / $55.51	Professional	80	$55.51	$55.51	$55.51
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $27.76 / $27.76 / $27.76	Professional	AS	$27.76	$27.76	$27.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00