Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $91.20	Professional		$72.44	$72.44	$91.20
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $51.29 / $10,000.00	Professional		$30.90	$51.29	$10,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $45.71	Professional		$32.36	$33.11	$45.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $74.13 / $89.13	Professional		$33.11	$74.13	$89.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $34.67 / $79.43	Professional		$23.44	$34.67	$79.43