Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,528.00 / $2,546.00 / $3,306.00	Facility		$1,528.00	$2,546.00	$3,306.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $224.47 / $431.67 / $660.33	Facility		$224.47	$431.67	$660.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $699.00 / $3,970.00	Facility		$323.00	$699.00	$3,970.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $80.80 / $90.30 / $1,514.00	Facility		$80.80	$90.30	$1,514.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,356.00 / $3,668.00 / $3,852.00	Facility		$1,356.00	$3,668.00	$3,852.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $1,097.85 / $8,504.33 / $34,971.49	Facility		$1,097.85	$8,504.33	$34,971.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $195.00 / $575.00	Facility		$118.50	$195.00	$575.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,356.00 / $3,668.00 / $3,852.00	Facility		$1,356.00	$3,668.00	$3,852.00