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 $129.85 / $813.24 / $2,970.36	Facility		$129.85	$813.24	$2,970.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $82.40 / $90.30 / $95.30	Facility		$82.40	$90.30	$95.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,140.00 / $10,447.00 / $17,099.00	Facility		$7,140.00	$10,447.00	$17,099.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $2,421.48 / $6,518.29 / $28,735.65	Facility		$2,421.48	$6,518.29	$28,735.65
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 $7,140.00 / $17,095.00 / $19,943.00	Facility		$7,140.00	$17,095.00	$19,943.00