Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $584.00 / $878.00	Facility		$480.00	$584.00	$878.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,249.00 / $3,232.00	Facility		$480.00	$1,249.00	$3,232.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $84.30 / $100.00 / $1,061.00	Facility		$84.30	$100.00	$1,061.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,776.00 / $1,776.00 / $1,776.00	Facility		$1,776.00	$1,776.00	$1,776.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $403.16 / $7,784.00 / $16,196.18	Facility		$403.16	$7,784.00	$16,196.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $300.00 / $815.00	Facility		$135.00	$300.00	$815.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $2,560.00 / $2,860.00	Facility		$1,600.00	$2,560.00	$2,860.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $442.00 / $684.00 / $1,432.00	Facility		$442.00	$684.00	$1,432.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $325.00 / $500.00 / $1,776.00	Facility		$325.00	$500.00	$1,776.00
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $442.00 / $684.00 / $1,432.00	Facility		$442.00	$684.00	$1,432.00