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 $245.47 / $1,096.48 / $3,890.45	Facility		$245.47	$1,096.48	$3,890.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $89.13 / $91.20	Facility		$67.61	$89.13	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $10,471.29 / $16,982.44	Facility		$7,079.46	$10,471.29	$16,982.44
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $6,456.54 / $29,512.09	Facility		$776.25	$6,456.54	$29,512.09
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 $7,079.46 / $16,982.44 / $19,952.62	Facility		$7,079.46	$16,982.44	$19,952.62