Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,669.60 / $20,455.00 / $40,531.00	Facility		$10,669.60	$20,455.00	$40,531.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $10,107.62 / $12,264.06 / $15,537.51	Facility		$10,107.62	$12,264.06	$15,537.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,919.76 / $16,089.00 / $26,769.74	Facility		$10,919.76	$16,089.00	$26,769.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $11,244.12 / $25,395.60	Facility		$100.00	$11,244.12	$25,395.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,120.89 / $19,514.68 / $25,627.10	Facility		$11,120.89	$19,514.68	$25,627.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,601.83 / $21,202.65 / $24,883.11	Facility		$14,601.83	$21,202.65	$24,883.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $9,740.92 / $15,135.66 / $26,188.66	Facility		$9,740.92	$15,135.66	$26,188.66
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $13,932.00 / $13,932.00 / $13,932.00	Facility		$13,932.00	$13,932.00	$13,932.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,693.00 / $12,369.42 / $25,323.56	Facility		$5,693.00	$12,369.42	$25,323.56