Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,233.00 / $2,405.00 / $7,925.00	Facility		$1,233.00	$2,405.00	$7,925.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $1,100.00 / $1,100.00	Facility		$1,100.00	$1,100.00	$1,100.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $2,794.00 / $7,078.00	Facility		$973.00	$2,794.00	$7,078.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $79.90 / $100.00 / $8,286.00	Facility		$79.90	$100.00	$8,286.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,035.00 / $1,512.00 / $3,520.00	Facility		$1,035.00	$1,512.00	$3,520.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $145.00 / $1,225.00 / $18,960.00	Facility		$145.00	$1,225.00	$18,960.00
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 $1,025.00 / $1,244.00 / $3,838.00	Facility		$1,025.00	$1,244.00	$3,838.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $962.00 / $1,300.00 / $3,511.00	Facility		$962.00	$1,300.00	$3,511.00
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $1,070.00 / $1,330.00 / $3,838.00	Facility		$1,070.00	$1,330.00	$3,838.00
United Facility/Professional Facility Modifier Low / Median / High Price $891.00 / $1,809.00 / $3,838.00	Facility		$891.00	$1,809.00	$3,838.00