Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $5,623.41 / $9,549.93	Facility		$3,467.37	$5,623.41	$9,549.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $6,309.57 / $12,302.69	Facility		$2,238.72	$6,309.57	$12,302.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,388.44 / $7,244.36	Professional		$2,570.40	$3,388.44	$7,244.36
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Professional	22	$8,912.51	$8,912.51	$8,912.51
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $239.88 / $239.88 / $239.88	Professional	80	$239.88	$239.88	$239.88
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $120.23 / $120.23 / $120.23	Professional	AS	$120.23	$120.23	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,235.94 / $7,943.28	Facility		$602.56	$3,235.94	$7,943.28