Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.00 / $4,613.00 / $7,421.00	Facility		$412.00	$4,613.00	$7,421.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.08 / $306.89 / $625.58	Professional		$236.08	$306.89	$625.58
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $16.44 / $16.44 / $16.44	Professional	80	$16.44	$16.44	$16.44
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $8.22 / $8.22 / $8.22	Professional	AS	$8.22	$8.22	$8.22
United Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $1,550.00 / $2,665.00	Facility		$212.00	$1,550.00	$2,665.00