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 $122.20 / $250.12 / $678.50	Facility		$122.20	$250.12	$678.50
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 $3,800.60 / $12,990.44 / $36,620.61	Facility		$3,800.60	$12,990.44	$36,620.61
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