Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $3,235.94	Facility		$1,513.56	$1,862.09	$3,235.94
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $588.84 / $20,417.38	Facility		$107.15	$588.84	$20,417.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $87.10 / $91.20	Facility		$81.28	$87.10	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,365.16 / $4,677.35	Facility		$3,630.78	$4,365.16	$4,677.35
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $7,244.36 / $38,904.51	Facility		$1,071.52	$7,244.36	$38,904.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $194.98 / $331.13	Facility		$120.23	$194.98	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,466.84 / $4,677.35	Facility		$4,265.80	$4,466.84	$4,677.35