Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,055.59 / $5,063.00 / $7,631.00	Facility		$2,055.59	$5,063.00	$7,631.00
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 $2,043.04 / $2,860.26 / $4,997.85	Professional		$2,043.04	$2,860.26	$4,997.85
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $7,090.09 / $7,090.09 / $7,090.09	Professional	22	$7,090.09	$7,090.09	$7,090.09
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $189.07 / $189.07 / $189.07	Professional	80	$189.07	$189.07	$189.07
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $94.53 / $94.53 / $94.53	Professional	AS	$94.53	$94.53	$94.53
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