Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $6,915.00 / $14,497.00	Facility		$1,791.00	$6,915.00	$14,497.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,298.47 / $4,701.47 / $17,687.80	Facility		$1,298.47	$4,701.47	$17,687.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,186.00 / $6,918.00 / $10,047.00	Facility		$4,186.00	$6,918.00	$10,047.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,904.92 / $2,476.40 / $5,933.00	Professional		$1,904.92	$2,476.40	$5,933.00
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $5,760.76 / $5,760.76 / $5,760.76	Professional	22	$5,760.76	$5,760.76	$5,760.76
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $76.81 / $76.81 / $76.81	Professional	AS	$76.81	$76.81	$76.81
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