Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,528.00 / $2,524.00 / $3,306.00	Facility		$1,528.00	$2,524.00	$3,306.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $388.89 / $515.07 / $979.01	Facility		$388.89	$515.07	$979.01
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 $59.40 / $100.00 / $1,726.00	Facility		$59.40	$100.00	$1,726.00
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 $2,930.45 / $16,252.67 / $57,824.86	Facility		$2,930.45	$16,252.67	$57,824.86
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