Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.00 / $1,499.00 / $4,823.00	Facility		$891.00	$1,499.00	$4,823.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $904.00 / $1,777.00 / $4,164.00	Facility		$904.00	$1,777.00	$4,164.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $79.50 / $100.00 / $4,119.00	Facility		$79.50	$100.00	$4,119.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $956.00 / $1,992.00 / $5,827.00	Facility		$956.00	$1,992.00	$5,827.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $17,782.66 / $17,782.66 / $17,782.66	Facility		$17,782.66	$17,782.66	$17,782.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $910.00 / $19,479.00	Facility		$141.00	$910.00	$19,479.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,279.00 / $10,000.00 / $10,000.00	Facility		$5,279.00	$10,000.00	$10,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $960.00 / $1,900.00 / $6,125.00	Facility		$960.00	$1,900.00	$6,125.00
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $1,733.00 / $1,733.00	Facility		$1,733.00	$1,733.00	$1,733.00
The Alliance Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $1,642.00 / $1,642.00	Facility		$1,642.00	$1,642.00	$1,642.00
United Facility/Professional Facility Modifier Low / Median / High Price $902.00 / $1,831.00 / $6,597.00	Facility		$902.00	$1,831.00	$6,597.00