Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,105.00 / $3,426.00	Facility		$480.00	$1,105.00	$3,426.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $552.00 / $1,632.00 / $3,258.00	Facility		$552.00	$1,632.00	$3,258.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $83.20 / $100.00 / $1,660.00	Facility		$83.20	$100.00	$1,660.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.00 / $167.00 / $167.00	Facility		$167.00	$167.00	$167.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $345.42 / $5,886.41	Facility		$180.00	$345.42	$5,886.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $195.00 / $330.00	Facility		$118.50	$195.00	$330.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $1,400.00 / $1,400.00	Facility		$1,400.00	$1,400.00	$1,400.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $376.19 / $521.37 / $766.03	Facility		$376.19	$521.37	$766.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $167.00 / $167.00 / $167.00	Facility		$167.00	$167.00	$167.00
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $376.19 / $521.37 / $766.03	Facility		$376.19	$521.37	$766.03