Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,495.41 / $9,549.93	Facility		$3,801.89	$5,495.41	$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 $2,818.38 / $3,630.78 / $7,079.46	Professional		$2,818.38	$3,630.78	$7,079.46
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Professional	22	$9,772.37	$9,772.37	$9,772.37
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $257.04 / $257.04 / $257.04	Professional	80	$257.04	$257.04	$257.04
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $128.82 / $128.82 / $128.82	Professional	AS	$128.82	$128.82	$128.82
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