Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $5,623.41 / $9,549.93	Facility		$1,230.27	$5,623.41	$9,549.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,890.45 / $10,000.00	Facility		$1,548.82	$3,890.45	$10,000.00
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 $724.44 / $891.25 / $1,513.56	Professional		$724.44	$891.25	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional	22	$2,290.87	$2,290.87	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $60.26 / $60.26 / $60.26	Professional	80	$60.26	$60.26	$60.26
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $30.20 / $30.20 / $30.20	Professional	AS	$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,918.31 / $12,022.64	Facility		$1,737.80	$6,918.31	$12,022.64