Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,623.72 / $5,063.00 / $9,488.00	Facility		$1,623.72	$5,063.00	$9,488.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,538.99 / $5,842.74 / $14,965.63	Facility		$1,538.99	$5,842.74	$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 $1,972.96 / $2,564.85 / $8,602.25	Professional		$1,972.96	$2,564.85	$8,602.25
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $5,966.58 / $5,966.58 / $5,966.58	Professional	22	$5,966.58	$5,966.58	$5,966.58
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $159.11 / $159.11 / $159.11	Professional	80	$159.11	$159.11	$159.11
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $79.55 / $79.55 / $79.55	Professional	AS	$79.55	$79.55	$79.55
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,629.00 / $10,000.00	Facility		$607.00	$3,629.00	$10,000.00