Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,065.27 / $5,063.00 / $9,488.00	Facility		$1,065.27	$5,063.00	$9,488.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,298.47 / $4,429.60 / $9,836.54	Facility		$1,298.47	$4,429.60	$9,836.54
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 $1,041.78 / $1,458.49 / $3,752.85	Professional		$1,041.78	$1,458.49	$3,752.85
Kaiser Permanente Facility/Professional Professional Modifier 62 Low / Median / High Price $1,129.80 / $1,129.80 / $1,129.80	Professional	62	$1,129.80	$1,129.80	$1,129.80
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $96.41 / $96.41 / $96.41	Professional	80	$96.41	$96.41	$96.41
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $48.20 / $48.20 / $48.20	Professional	AS	$48.20	$48.20	$48.20
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