Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $966.00 / $2,127.00 / $6,274.00	Facility		$966.00	$2,127.00	$6,274.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,293.00 / $3,271.00 / $3,533.00	Facility		$2,293.00	$3,271.00	$3,533.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $87.50 / $195.00 / $5,132.00	Facility		$87.50	$195.00	$5,132.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,645.00 / $5,685.00	Facility		$300.00	$1,645.00	$5,685.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $850.00 / $17,614.00	Facility		$150.00	$850.00	$17,614.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,970.00 / $9,269.00 / $10,000.00	Facility		$3,970.00	$9,269.00	$10,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.00 / $1,250.00 / $4,750.00	Facility		$295.00	$1,250.00	$4,750.00
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $2,037.00 / $2,037.00 / $2,037.00	Facility		$2,037.00	$2,037.00	$2,037.00
United Facility/Professional Facility Modifier Low / Median / High Price $861.00 / $1,853.00 / $6,537.00	Facility		$861.00	$1,853.00	$6,537.00