Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,601.39 / $6,726.00 / $12,902.00	Facility		$1,601.39	$6,726.00	$12,902.00
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 $6,184.57 / $6,184.57 / $31,200.00	Facility		$6,184.57	$6,184.57	$31,200.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $956.14 / $1,242.98 / $2,488.26	Professional		$956.14	$1,242.98	$2,488.26
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,891.51 / $2,891.51 / $2,891.51	Professional	22	$2,891.51	$2,891.51	$2,891.51
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $77.11 / $77.11 / $77.11	Professional	80	$77.11	$77.11	$77.11
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $38.54 / $38.54 / $38.54	Professional	AS	$38.54	$38.54	$38.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00