Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.00 / $878.00 / $878.00	Facility		$292.00	$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 $375.72 / $375.72 / $3,240.88	Facility		$375.72	$375.72	$3,240.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $195.00 / $315.00	Facility		$118.50	$195.00	$315.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,200.00	Facility		$1,200.00	$1,200.00	$1,200.00
Optum Facility/Professional Facility Modifier Low / Median / High Price $460.38 / $482.31 / $605.86	Facility		$460.38	$482.31	$605.86
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 $460.38 / $482.31 / $605.86	Facility		$460.38	$482.31	$605.86