Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,691.53 / $7,244.36	Facility		$2,398.83	$2,691.53	$7,244.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $91.20 / $100.00	Facility		$75.86	$91.20	$100.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $213.80 / $17,782.79	Facility		$141.25	$213.80	$17,782.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,698.24	Facility		$812.83	$1,122.02	$1,698.24
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Facility		$5,623.41	$5,623.41	$5,623.41
The Alliance Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,162.28 / $3,715.35	Facility		$1,862.09	$3,162.28	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $25,118.86 / $66,069.34	Facility		$3,981.07	$25,118.86	$66,069.34