Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,968.00 / $3,791.00 / $9,710.00	Facility		$1,968.00	$3,791.00	$9,710.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,900.00 / $4,507.00 / $10,297.00	Facility		$1,900.00	$4,507.00	$10,297.00
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 $145.00 / $1,900.00 / $19,479.00	Facility		$145.00	$1,900.00	$19,479.00
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 $1,353.00 / $1,353.00 / $1,353.00	Facility		$1,353.00	$1,353.00	$1,353.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $4,019.00 / $9,877.00	Facility		$1,100.00	$4,019.00	$9,877.00
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $1,353.00 / $5,668.00 / $5,668.00	Facility		$1,353.00	$5,668.00	$5,668.00
United Facility/Professional Facility Modifier Low / Median / High Price $979.16 / $2,090.00 / $6,034.00	Facility		$979.16	$2,090.00	$6,034.00