Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $316.23 / $2,398.83	Facility		$35.48	$316.23	$2,398.83
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 $4,677.35 / $15,135.61 / $36,307.81	Facility		$4,677.35	$15,135.61	$36,307.81
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