Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $6,918.31	Facility		$1,202.26	$1,659.59	$6,918.31
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 $1,000.00 / $3,467.37 / $10,471.29	Facility		$1,000.00	$3,467.37	$10,471.29
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $10,964.78 / $33,884.42	Facility		$1,698.24	$10,964.78	$33,884.42
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 $1,148.15 / $3,467.37 / $10,232.93	Facility		$1,148.15	$3,467.37	$10,232.93