Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,981.07 / $4,365.16	Facility		$100.00	$3,981.07	$4,365.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $208.93 / $316.23	Facility		$134.90	$208.93	$316.23
Optum Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $741.31 / $1,096.48	Facility		$218.78	$741.31	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $741.31 / $1,096.48	Facility		$218.78	$741.31	$1,096.48