Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $173.78 / $616.60	Facility		$19.05	$173.78	$616.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $89.13 / $100.00	Facility		$61.66	$89.13	$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 $302.00 / $5,011.87 / $22,387.21	Facility		$302.00	$5,011.87	$22,387.21
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