Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,106.87 / $6,915.00 / $15,000.00	Facility		$2,106.87	$6,915.00	$15,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,195.63 / $3,859.05 / $8,545.91	Facility		$1,195.63	$3,859.05	$8,545.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,685.16 / $3,685.16 / $3,685.16	Facility		$3,685.16	$3,685.16	$3,685.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $961.71 / $1,250.22 / $2,668.44	Professional		$961.71	$1,250.22	$2,668.44
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,511.06 / $2,511.06 / $2,511.06	Professional	22	$2,511.06	$2,511.06	$2,511.06
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $66.95 / $66.95 / $66.95	Professional	80	$66.95	$66.95	$66.95
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $33.47 / $33.47 / $33.47	Professional	AS	$33.47	$33.47	$33.47
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