Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,087.08 / $6,726.00 / $14,121.70	Facility		$2,087.08	$6,726.00	$14,121.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,556.18 / $4,429.60 / $8,545.91	Facility		$1,556.18	$4,429.60	$8,545.91
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 $1,301.36 / $1,691.78 / $2,988.37	Professional		$1,301.36	$1,691.78	$2,988.37
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,397.93 / $3,397.93 / $3,397.93	Professional	22	$3,397.93	$3,397.93	$3,397.93
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $90.61 / $90.61 / $90.61	Professional	80	$90.61	$90.61	$90.61
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $45.31 / $45.31 / $45.31	Professional	AS	$45.31	$45.31	$45.31
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