Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,781.89 / $4,817.00 / $6,915.00	Facility		$1,781.89	$4,817.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,406.20 / $4,415.29 / $8,702.00	Facility		$1,406.20	$4,415.29	$8,702.00
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 $1,042.79 / $1,355.63 / $2,468.67	Professional		$1,042.79	$1,355.63	$2,468.67
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,722.73 / $2,722.73 / $2,722.73	Professional	22	$2,722.73	$2,722.73	$2,722.73
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $72.61 / $72.61 / $72.61	Professional	80	$72.61	$72.61	$72.61
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $36.29 / $36.29 / $36.29	Professional	AS	$36.29	$36.29	$36.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,845.00 / $7,766.00 / $11,889.00	Facility		$2,845.00	$7,766.00	$11,889.00