Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,244.36 / $15,488.17	Facility		$4,365.16	$7,244.36	$15,488.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,890.45 / $8,128.31	Facility		$1,230.27	$3,890.45	$8,128.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $7,244.36 / $10,000.00	Facility		$4,168.69	$7,244.36	$10,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,187.76 / $9,549.93	Professional		$1,819.70	$2,187.76	$9,549.93
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Professional	22	$5,754.40	$5,754.40	$5,754.40
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $77.62 / $77.62 / $77.62	Professional	AS	$77.62	$77.62	$77.62
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