Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $1,669.00 / $3,409.00	Facility		$1,152.00	$1,669.00	$3,409.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $1,823.00 / $1,823.00 / $1,823.00	Facility		$1,823.00	$1,823.00	$1,823.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $1,658.00 / $3,514.00	Facility		$645.00	$1,658.00	$3,514.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $773.00 / $1,773.00	Facility		$78.00	$773.00	$1,773.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,025.00 / $1,495.00 / $2,688.00	Facility		$1,025.00	$1,495.00	$2,688.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $2,070.59 / $4,448.20 / $6,759.99	Facility		$2,070.59	$4,448.20	$6,759.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $250.00 / $1,532.00	Facility		$135.00	$250.00	$1,532.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $880.00 / $1,000.00 / $1,500.00	Facility		$880.00	$1,000.00	$1,500.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $959.00 / $1,272.00 / $2,515.00	Facility		$959.00	$1,272.00	$2,515.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $185.00 / $1,264.00 / $2,564.00	Facility		$185.00	$1,264.00	$2,564.00
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $959.00 / $1,272.00 / $2,515.00	Facility		$959.00	$1,272.00	$2,515.00