Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $3,548.13	Facility		$2,290.87	$2,290.87	$3,548.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $91.20 / $100.00	Facility		$74.13	$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 $1,348.96 / $1,348.96 / $3,090.30	Facility		$1,348.96	$1,348.96	$3,090.30
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
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $25,703.96 / $66,069.34	Facility		$5,495.41	$25,703.96	$66,069.34