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 $181.97 / $371.54 / $1,778.28	Facility		$181.97	$371.54	$1,778.28
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 $2,290.87 / $7,244.36 / $15,135.61	Facility		$2,290.87	$7,244.36	$15,135.61
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,888.44 / $17,782.79	Facility		$2,511.89	$5,888.44	$17,782.79
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 $1,819.70 / $6,760.83 / $15,135.61	Facility		$1,819.70	$6,760.83	$15,135.61