Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,514.87 / $4,852.00 / $9,134.58	Facility		$1,514.87	$4,852.00	$9,134.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,556.18 / $4,429.60 / $8,545.91	Facility		$1,556.18	$4,429.60	$8,545.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,811.32 / $2,811.32 / $2,811.32	Facility		$2,811.32	$2,811.32	$2,811.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $913.05 / $1,186.97 / $2,252.42	Professional		$913.05	$1,186.97	$2,252.42
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $73.63 / $73.63 / $73.63	Professional	80	$73.63	$73.63	$73.63
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $36.82 / $36.82 / $36.82	Professional	AS	$36.82	$36.82	$36.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00