Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $229.09 / $575.44	Facility		$147.91	$229.09	$575.44
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 $3,235.94 / $7,762.47 / $16,218.10	Facility		$3,235.94	$7,762.47	$16,218.10
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