Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $380.00 / $754.00	Facility		$294.00	$380.00	$754.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $324.88 / $424.36 / $655.21	Facility		$324.88	$424.36	$655.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,049.00 / $3,232.00	Facility		$302.00	$1,049.00	$3,232.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.50 / $191.00 / $690.00	Facility		$92.50	$191.00	$690.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.00 / $342.00 / $576.00	Facility		$271.00	$342.00	$576.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $960.00 / $3,360.00 / $10,933.00	Facility		$960.00	$3,360.00	$10,933.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $300.00 / $575.00	Facility		$135.00	$300.00	$575.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $522.00 / $2,000.00 / $2,000.00	Facility		$522.00	$2,000.00	$2,000.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $259.41 / $337.00 / $959.00	Facility		$259.41	$337.00	$959.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.00 / $325.00 / $558.00	Facility		$251.00	$325.00	$558.00
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $259.41 / $337.00 / $959.00	Facility		$259.41	$337.00	$959.00