Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,460.00 / $2,907.00 / $6,658.00	Facility		$1,460.00	$2,907.00	$6,658.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $301.33 / $3,375.64	Facility		$139.00	$301.33	$3,375.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,988.00 / $5,727.00 / $11,400.00	Facility		$1,988.00	$5,727.00	$11,400.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $79.13 / $100.00 / $393.00	Facility		$79.13	$100.00	$393.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,397.00 / $6,660.00 / $17,051.00	Facility		$2,397.00	$6,660.00	$17,051.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $408.11 / $2,158.90 / $6,346.40	Facility		$408.11	$2,158.90	$6,346.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $224.00 / $350.00	Facility		$118.50	$224.00	$350.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $1,800.00 / $7,500.00	Facility		$1,800.00	$1,800.00	$7,500.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $1,164.00 / $1,164.00	Facility		$95.00	$1,164.00	$1,164.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,095.27 / $6,660.00 / $17,051.00	Facility		$2,095.27	$6,660.00	$17,051.00
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $1,164.00 / $1,164.00	Facility		$95.00	$1,164.00	$1,164.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,058.00 / $1,164.00 / $1,164.00	Facility		$1,058.00	$1,164.00	$1,164.00