Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,096.48 / $3,467.37	Facility		$933.25	$1,096.48	$3,467.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $2,041.74 / $4,365.16	Facility		$213.80	$2,041.74	$4,365.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $194.98 / $316.23	Facility		$117.49	$194.98	$316.23
Optum Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $562.34 / $794.33	Facility		$398.11	$562.34	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $562.34 / $794.33	Facility		$398.11	$562.34	$794.33