Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,873.00 / $2,122.00 / $5,856.00	Facility		$1,873.00	$2,122.00	$5,856.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $830.00 / $900.00	Facility		$800.00	$830.00	$900.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $71.00	Facility		$20.00	$20.00	$71.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $205.00 / $315.00	Facility		$135.00	$205.00	$315.00
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 $261.00 / $261.00 / $753.00	Facility		$261.00	$261.00	$753.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $71.00	Facility		$20.00	$20.00	$71.00
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $261.00 / $261.00 / $753.00	Facility		$261.00	$261.00	$753.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,144.00 / $1,747.00 / $1,747.00	Facility		$1,144.00	$1,747.00	$1,747.00