Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $878.00 / $878.00	Facility		$480.00	$878.00	$878.00
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 $91.00 / $91.00 / $121.00	Facility		$91.00	$91.00	$121.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $1,192.70	Facility		$85.00	$85.00	$1,192.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $225.00 / $766.00	Facility		$135.00	$225.00	$766.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $830.00 / $1,200.00 / $1,230.00	Facility		$830.00	$1,200.00	$1,230.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $252.00 / $277.20 / $277.20	Facility		$252.00	$277.20	$277.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.00 / $91.00 / $121.00	Facility		$91.00	$91.00	$121.00
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $252.00 / $277.20 / $277.20	Facility		$252.00	$277.20	$277.20