Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $6,456.54 / $14,125.38	Facility		$1,698.24	$6,456.54	$14,125.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,897.79 / $10,232.93	Facility		$1,737.80	$4,897.79	$10,232.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $3,235.94	Professional		$954.99	$1,202.26	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional	22	$3,019.95	$3,019.95	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $81.28 / $81.28 / $81.28	Professional	80	$81.28	$81.28	$81.28
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $40.74 / $40.74 / $40.74	Professional	AS	$40.74	$40.74	$40.74
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