Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $37.15 / $245.47	Facility		$19.95	$37.15	$245.47
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 $891.25 / $8,317.64 / $19,952.62	Facility		$891.25	$8,317.64	$19,952.62
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