Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,549.75 / $5,063.00 / $7,000.00	Facility		$1,549.75	$5,063.00	$7,000.00
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 $1,516.53 / $2,123.14 / $7,288.70	Professional		$1,516.53	$2,123.14	$7,288.70
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $5,262.92 / $5,262.92 / $5,262.92	Professional	22	$5,262.92	$5,262.92	$5,262.92
Kaiser Permanente Facility/Professional Professional Modifier 62 Low / Median / High Price $1,644.66 / $1,644.66 / $1,644.66	Professional	62	$1,644.66	$1,644.66	$1,644.66
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