Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $289.00 / $289.00	Facility		$260.00	$289.00	$289.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $313.00 / $313.00 / $313.00	Facility		$313.00	$313.00	$313.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $62.90 / $94.00 / $132.00	Facility		$62.90	$94.00	$132.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $244.00	Facility		$35.00	$35.00	$244.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $164.61 / $421.44 / $1,447.43	Facility		$164.61	$421.44	$1,447.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $195.00 / $315.00	Facility		$118.50	$195.00	$315.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $244.00	Facility		$35.00	$35.00	$244.00