Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $139.85 / $223.20 / $551.00	Facility		$139.85	$223.20	$551.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $82.20 / $93.00 / $381.00	Facility		$82.20	$93.00	$381.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,315.00 / $6,763.00 / $14,971.00	Facility		$2,315.00	$6,763.00	$14,971.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $4,020.31 / $8,448.11 / $19,378.02	Facility		$4,020.31	$8,448.11	$19,378.02
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 $2,315.00 / $6,763.00 / $14,971.00	Facility		$2,315.00	$6,763.00	$14,971.00