Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $2,016.00 / $4,176.00	Facility		$750.00	$2,016.00	$4,176.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $824.00 / $2,842.00 / $3,078.00	Facility		$824.00	$2,842.00	$3,078.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $78.90 / $100.00 / $2,826.00	Facility		$78.90	$100.00	$2,826.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $519.00 / $750.00 / $1,861.00	Facility		$519.00	$750.00	$1,861.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $250.00 / $879.00	Facility		$135.00	$250.00	$879.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,958.00 / $5,000.00 / $5,000.00	Facility		$2,958.00	$5,000.00	$5,000.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $220.00 / $714.73 / $950.00	Facility		$220.00	$714.73	$950.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $519.00 / $750.00 / $1,602.00	Facility		$519.00	$750.00	$1,602.00
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $220.00 / $714.73 / $950.00	Facility		$220.00	$714.73	$950.00
United Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $1,144.00 / $1,747.00	Facility		$312.00	$1,144.00	$1,747.00