Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,750.00 / $2,750.00 / $2,750.00	Facility		$2,750.00	$2,750.00	$2,750.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $293.95 / $3,041.58	Facility		$16.82	$293.95	$3,041.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $82.20 / $90.30 / $186.00	Facility		$82.20	$90.30	$186.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,091.00 / $6,763.00 / $16,441.00	Facility		$2,091.00	$6,763.00	$16,441.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $2,194.41 / $7,548.00 / $19,718.16	Facility		$2,194.41	$7,548.00	$19,718.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $195.00 / $315.00	Facility		$118.50	$195.00	$315.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,665.00 / $6,763.00 / $19,176.00	Facility		$1,665.00	$6,763.00	$19,176.00