Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $88.57 / $473.93	Facility		$16.73	$88.57	$473.93
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 $498.17 / $5,529.10 / $23,467.68	Facility		$498.17	$5,529.10	$23,467.68
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