Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,276.00 / $2,320.00 / $8,473.00	Facility		$1,276.00	$2,320.00	$8,473.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,235.00 / $2,468.00 / $6,102.00	Facility		$1,235.00	$2,468.00	$6,102.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $79.90 / $100.00 / $7,854.00	Facility		$79.90	$100.00	$7,854.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,110.00 / $1,864.80 / $3,511.00	Facility		$1,110.00	$1,864.80	$3,511.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $1,500.00 / $17,614.00	Facility		$150.00	$1,500.00	$17,614.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,034.00 / $8,000.00 / $8,000.00	Facility		$5,034.00	$8,000.00	$8,000.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $1,098.28 / $1,115.00 / $2,668.00	Facility		$1,098.28	$1,115.00	$2,668.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $1,450.00 / $3,511.00	Facility		$1,050.00	$1,450.00	$3,511.00
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $1,098.28 / $2,448.00 / $2,668.00	Facility		$1,098.28	$2,448.00	$2,668.00
United Facility/Professional Facility Modifier Low / Median / High Price $949.00 / $1,790.00 / $3,515.00	Facility		$949.00	$1,790.00	$3,515.00