Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $7,079.46 / $14,125.38	Facility		$2,089.30	$7,079.46	$14,125.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,890.45 / $6,918.31	Facility		$1,548.82	$3,890.45	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $3,019.95	Professional		$1,202.26	$1,513.56	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Professional	22	$3,388.44	$3,388.44	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $91.20 / $91.20 / $91.20	Professional	80	$91.20	$91.20	$91.20
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $45.71 / $45.71 / $45.71	Professional	AS	$45.71	$45.71	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,918.31 / $12,022.64	Facility		$1,737.80	$6,918.31	$12,022.64