Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $34.96 / $99.67 / $246.61	Facility		$34.96	$99.67	$246.61
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 $1,081.03 / $7,143.52 / $25,194.39	Facility		$1,081.03	$7,143.52	$25,194.39
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