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 $163.00 / $1,500.00 / $16,886.00	Facility		$163.00	$1,500.00	$16,886.00
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 $1,081.78 / $1,635.00 / $3,929.00	Facility		$1,081.78	$1,635.00	$3,929.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,030.00 / $1,400.00 / $3,412.00	Facility		$1,030.00	$1,400.00	$3,412.00
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $1,082.64 / $1,650.00 / $3,849.00	Facility		$1,082.64	$1,650.00	$3,849.00
United Facility/Professional Facility Modifier Low / Median / High Price $977.00 / $1,785.00 / $3,515.00	Facility		$977.00	$1,785.00	$3,515.00