Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,821.97 / $5,063.00 / $6,915.00	Facility		$2,821.97	$5,063.00	$6,915.00
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 $2,799.59 / $3,919.43 / $7,155.40	Professional		$2,799.59	$3,919.43	$7,155.40
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $9,715.57 / $9,715.57 / $9,715.57	Professional	22	$9,715.57	$9,715.57	$9,715.57
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $259.08 / $259.08 / $259.08	Professional	80	$259.08	$259.08	$259.08
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $129.54 / $129.54 / $129.54	Professional	AS	$129.54	$129.54	$129.54
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