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 / $2,465.00 / $6,102.00	Facility		$1,235.00	$2,465.00	$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 $1,049.00 / $1,049.00 / $1,065.00	Facility		$1,049.00	$1,049.00	$1,065.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $1,475.00 / $3,511.00	Facility		$983.00	$1,475.00	$3,511.00
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $1,049.00 / $2,448.00 / $2,448.00	Facility		$1,049.00	$2,448.00	$2,448.00
United Facility/Professional Facility Modifier Low / Median / High Price $977.00 / $1,785.00 / $3,704.00	Facility		$977.00	$1,785.00	$3,704.00