Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,813.50 / $4,195.00 / $10,374.00	Facility		$1,813.50	$4,195.00	$10,374.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,625.00 / $3,829.40 / $4,126.00	Facility	22	$2,625.00	$3,829.40	$4,126.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,034.84 / $4,405.96 / $9,365.64	Facility		$1,034.84	$4,405.96	$9,365.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,613.12 / $3,613.12 / $3,613.12	Facility		$3,613.12	$3,613.12	$3,613.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $700.25 / $910.33 / $1,854.97	Professional		$700.25	$910.33	$1,854.97
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $1,828.38 / $1,828.38 / $1,828.38	Professional	22	$1,828.38	$1,828.38	$1,828.38
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $48.76 / $48.76 / $48.76	Professional	80	$48.76	$48.76	$48.76
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $24.38 / $24.38 / $24.38	Professional	AS	$24.38	$24.38	$24.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00