Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,233.00 / $2,405.00 / $7,925.00	Facility		$1,233.00	$2,405.00	$7,925.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $2,794.00 / $7,078.00	Facility		$973.00	$2,794.00	$7,078.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $79.90 / $100.00 / $8,286.00	Facility		$79.90	$100.00	$8,286.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,030.00 / $1,512.00 / $3,520.00	Facility		$1,030.00	$1,512.00	$3,520.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $1,242.00 / $19,479.00	Facility		$141.00	$1,242.00	$19,479.00
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 $568.00 / $1,317.00 / $3,838.00	Facility		$568.00	$1,317.00	$3,838.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $994.00 / $1,416.00 / $3,520.00	Facility		$994.00	$1,416.00	$3,520.00
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $1,143.00 / $3,838.00 / $4,376.00	Facility		$1,143.00	$3,838.00	$4,376.00
United Facility/Professional Facility Modifier Low / Median / High Price $938.00 / $1,814.00 / $3,838.00	Facility		$938.00	$1,814.00	$3,838.00