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 $81.88 / $392.00 / $2,521.76	Facility		$81.88	$392.00	$2,521.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $82.20 / $93.00 / $116.00	Facility		$82.20	$93.00	$116.00
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 $3,229.50 / $10,863.81 / $27,397.00	Facility		$3,229.50	$10,863.81	$27,397.00
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
United Facility/Professional Facility Modifier Low / Median / High Price $2,085.00 / $2,085.00 / $2,085.00	Facility		$2,085.00	$2,085.00	$2,085.00