Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $3,235.94	Facility		$22.39	$22.39	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Facility		$9,120.11	$9,120.11	$9,120.11
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $5,888.44	Facility		$2,818.38	$2,818.38	$5,888.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $194.98 / $316.23	Facility		$117.49	$194.98	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Facility		$9,120.11	$9,120.11	$9,120.11