Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,982.00 / $3,979.00 / $9,673.00	Facility		$1,982.00	$3,979.00	$9,673.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,697.00 / $4,469.00 / $10,264.00	Facility		$1,697.00	$4,469.00	$10,264.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $79.50 / $100.00 / $6,903.00	Facility		$79.50	$100.00	$6,903.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,360.00 / $4,164.00 / $9,824.00	Facility		$1,360.00	$4,164.00	$9,824.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $1,900.00 / $17,614.00	Facility		$150.00	$1,900.00	$17,614.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,383.00 / $7,738.00 / $10,000.00	Facility		$3,383.00	$7,738.00	$10,000.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $948.00 / $1,210.00 / $2,921.00	Facility		$948.00	$1,210.00	$2,921.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $3,651.00 / $9,877.00	Facility		$869.00	$3,651.00	$9,877.00
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $948.00 / $1,700.00 / $5,668.00	Facility		$948.00	$1,700.00	$5,668.00
The Alliance Facility/Professional Facility Modifier Low / Median / High Price $1,879.53 / $3,144.00 / $3,725.00	Facility		$1,879.53	$3,144.00	$3,725.00
United Facility/Professional Facility Modifier Low / Median / High Price $993.00 / $2,383.00 / $6,134.00	Facility		$993.00	$2,383.00	$6,134.00