Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $5,063.00 / $9,488.00	Facility		$1,202.00	$5,063.00	$9,488.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,556.18 / $5,523.39 / $14,965.63	Facility		$1,556.18	$5,523.39	$14,965.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $750.65 / $975.85 / $1,526.00	Professional		$750.65	$975.85	$1,526.00
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,270.10 / $2,270.10 / $2,270.10	Professional	22	$2,270.10	$2,270.10	$2,270.10
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $60.54 / $60.54 / $60.54	Professional	80	$60.54	$60.54	$60.54
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $30.27 / $30.27 / $30.27	Professional	AS	$30.27	$30.27	$30.27
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