Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $374.00 / $516.00	Facility		$240.00	$374.00	$516.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.00 / $421.00 / $1,172.00	Facility		$207.00	$421.00	$1,172.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $62.90 / $100.00 / $439.00	Facility		$62.90	$100.00	$439.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $186.00 / $453.00	Facility		$80.00	$186.00	$453.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $744.16 / $9,749.76 / $30,919.84	Facility		$744.16	$9,749.76	$30,919.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $23.75 / $118.50 / $300.00	Facility		$23.75	$118.50	$300.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $186.00 / $453.00	Facility		$75.00	$186.00	$453.00