Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $568.00 / $1,295.00 / $4,650.00	Facility		$568.00	$1,295.00	$4,650.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $1,092.00 / $1,200.00	Facility		$930.00	$1,092.00	$1,200.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.00 / $91.20 / $100.00	Facility		$67.00	$91.20	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $519.00 / $824.00 / $1,923.00	Facility		$519.00	$824.00	$1,923.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $250.00 / $753.82	Facility		$135.00	$250.00	$753.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,002.00 / $5,000.00 / $5,000.00	Facility		$4,002.00	$5,000.00	$5,000.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $1,352.00 / $1,352.00 / $1,352.00	Facility		$1,352.00	$1,352.00	$1,352.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $415.00 / $810.00 / $1,923.00	Facility		$415.00	$810.00	$1,923.00
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $1,352.00 / $1,352.00 / $1,352.00	Facility		$1,352.00	$1,352.00	$1,352.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,144.00 / $1,747.00 / $1,826.00	Facility		$1,144.00	$1,747.00	$1,826.00