Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,750.00 / $2,750.00 / $2,750.00	Facility		$2,750.00	$2,750.00	$2,750.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $740.33 / $2,637.40 / $4,933.43	Facility		$740.33	$2,637.40	$4,933.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $82.20 / $93.00 / $1,697.00	Facility		$82.20	$93.00	$1,697.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $3,137.00 / $10,449.00	Facility		$1,106.00	$3,137.00	$10,449.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $1,980.56 / $10,318.27 / $45,594.00	Facility		$1,980.56	$10,318.27	$45,594.00
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 $1,106.00 / $2,958.00 / $10,273.00	Facility		$1,106.00	$2,958.00	$10,273.00