Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.00 / $380.00 / $754.00	Facility		$267.00	$380.00	$754.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $336.00 / $336.00 / $336.00	Facility		$336.00	$336.00	$336.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $751.00 / $1,920.00	Facility		$300.00	$751.00	$1,920.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $157.00 / $690.00	Facility		$100.00	$157.00	$690.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.00 / $313.00 / $529.00	Facility		$256.00	$313.00	$529.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $6,415.44 / $8,757.00	Facility		$570.00	$6,415.44	$8,757.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $250.00 / $396.00	Facility		$135.00	$250.00	$396.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,066.00 / $2,066.00 / $2,570.00	Facility		$2,066.00	$2,066.00	$2,570.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $237.00 / $312.00 / $534.00	Facility		$237.00	$312.00	$534.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $307.00 / $463.00	Facility		$250.00	$307.00	$463.00
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $237.00 / $312.00 / $534.00	Facility		$237.00	$312.00	$534.00