Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,243.59 / $5,063.00 / $9,036.00	Facility		$2,243.59	$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 $2,230.73 / $3,123.02 / $6,684.58	Professional		$2,230.73	$3,123.02	$6,684.58
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $7,741.42 / $7,741.42 / $7,741.42	Professional	22	$7,741.42	$7,741.42	$7,741.42
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $206.44 / $206.44 / $206.44	Professional	80	$206.44	$206.44	$206.44
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $103.22 / $103.22 / $103.22	Professional	AS	$103.22	$103.22	$103.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $3,372.00 / $8,133.00	Facility		$1,162.00	$3,372.00	$8,133.00