Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,276.00 / $2,405.00 / $9,673.00	Facility		$1,276.00	$2,405.00	$9,673.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $9,530.00 / $17,748.00	Facility		$2,524.00	$9,530.00	$17,748.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $78.80 / $100.00 / $11,029.00	Facility		$78.80	$100.00	$11,029.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,110.00 / $1,864.80 / $3,511.00	Facility		$1,110.00	$1,864.80	$3,511.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $1,500.00 / $18,960.00	Facility		$150.00	$1,500.00	$18,960.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,498.00 / $13,383.00 / $13,383.00	Facility		$6,498.00	$13,383.00	$13,383.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $1,065.00 / $1,353.00 / $1,758.00	Facility		$1,065.00	$1,353.00	$1,758.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $1,483.00 / $3,511.00	Facility		$983.00	$1,483.00	$3,511.00
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $1,065.00 / $1,353.00 / $1,758.00	Facility		$1,065.00	$1,353.00	$1,758.00
The Alliance Facility/Professional Facility Modifier Low / Median / High Price $5,184.00 / $5,184.00 / $5,184.00	Facility		$5,184.00	$5,184.00	$5,184.00
United Facility/Professional Facility Modifier Low / Median / High Price $965.00 / $1,758.00 / $3,704.00	Facility		$965.00	$1,758.00	$3,704.00