Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $186.21 / $2,630.27	Facility		$20.89	$186.21	$2,630.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $91.20 / $100.00	Facility		$67.61	$91.20	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $7,413.10 / $16,595.87	Facility		$2,187.76	$7,413.10	$16,595.87
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $7,943.28 / $17,378.01	Facility		$1,949.84	$7,943.28	$17,378.01
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 $1,659.59 / $6,760.83 / $19,054.61	Facility		$1,659.59	$6,760.83	$19,054.61