Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $91.20 / $100.00	Facility		$72.44	$91.20	$100.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $213.80 / $19,054.61	Facility		$141.25	$213.80	$19,054.61
Optum Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,019.95	Facility		$2,691.53	$2,691.53	$3,019.95
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $21,877.62 / $63,095.73	Facility		$5,011.87	$21,877.62	$63,095.73