Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,613.38 / $6,726.00 / $13,428.00	Facility		$1,613.38	$6,726.00	$13,428.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,400.48 / $4,429.60 / $9,365.64	Facility		$1,400.48	$4,429.60	$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 $907.52 / $1,179.78 / $2,591.55	Professional		$907.52	$1,179.78	$2,591.55
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,369.58 / $2,369.58 / $2,369.58	Professional	22	$2,369.58	$2,369.58	$2,369.58
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $63.19 / $63.19 / $63.19	Professional	80	$63.19	$63.19	$63.19
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $31.59 / $31.59 / $31.59	Professional	AS	$31.59	$31.59	$31.59
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