Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.00 / $480.00 / $702.00	Facility		$315.00	$480.00	$702.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $552.00 / $1,632.00 / $3,258.00	Facility		$552.00	$1,632.00	$3,258.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $86.40 / $100.00 / $1,158.00	Facility		$86.40	$100.00	$1,158.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $225.00 / $1,063.00	Facility		$135.00	$225.00	$1,063.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $855.00 / $855.00 / $855.00	Facility		$855.00	$855.00	$855.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $307.00 / $331.00 / $509.00	Facility		$307.00	$331.00	$509.00
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $855.00 / $855.00 / $855.00	Facility		$855.00	$855.00	$855.00