Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,545.31 / $6,915.00 / $14,497.00	Facility		$2,545.31	$6,915.00	$14,497.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,827.87 / $5,822.04 / $14,965.63	Facility		$1,827.87	$5,822.04	$14,965.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,986.00 / $14,959.00 / $24,659.00	Facility		$4,986.00	$14,959.00	$24,659.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,854.07 / $2,410.29 / $5,407.86	Professional		$1,854.07	$2,410.29	$5,407.86
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $5,607.04 / $5,607.04 / $5,607.04	Professional	22	$5,607.04	$5,607.04	$5,607.04
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $1,635.39 / $1,635.39 / $1,635.39	Professional	52	$1,635.39	$1,635.39	$1,635.39
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $74.76 / $74.76 / $74.76	Professional	AS	$74.76	$74.76	$74.76
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