Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.00 / $1,499.00 / $4,823.00	Facility		$891.00	$1,499.00	$4,823.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $904.00 / $1,772.00 / $4,164.00	Facility		$904.00	$1,772.00	$4,164.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $79.50 / $100.00 / $4,119.00	Facility		$79.50	$100.00	$4,119.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $936.00 / $1,992.00 / $5,827.00	Facility		$936.00	$1,992.00	$5,827.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $910.00 / $19,479.00	Facility		$141.00	$910.00	$19,479.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,848.00 / $10,000.00 / $10,000.00	Facility		$1,848.00	$10,000.00	$10,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $935.00 / $1,900.00 / $6,125.00	Facility		$935.00	$1,900.00	$6,125.00
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $1,733.00 / $1,733.00	Facility		$1,733.00	$1,733.00	$1,733.00
United Facility/Professional Facility Modifier Low / Median / High Price $864.00 / $1,809.00 / $5,834.00	Facility		$864.00	$1,809.00	$5,834.00