Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,113.21 / $5,063.00 / $9,036.00	Facility		$2,113.21	$5,063.00	$9,036.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,325.76 / $8,967.21 / $21,657.35	Facility		$2,325.76	$8,967.21	$21,657.35
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 $2,093.21 / $2,930.49 / $6,834.93	Professional		$2,093.21	$2,930.49	$6,834.93
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $7,264.20 / $7,264.20 / $7,264.20	Professional	22	$7,264.20	$7,264.20	$7,264.20
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $193.71 / $193.71 / $193.71	Professional	80	$193.71	$193.71	$193.71
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $96.86 / $96.86 / $96.86	Professional	AS	$96.86	$96.86	$96.86
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,629.00 / $10,000.00	Facility		$607.00	$3,629.00	$10,000.00