Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.00 / $2,427.00 / $2,750.00	Facility		$159.00	$2,427.00	$2,750.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $249.97 / $618.19 / $3,214.45	Facility		$249.97	$618.19	$3,214.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,700.00 / $1,853.00 / $4,661.00	Facility		$1,700.00	$1,853.00	$4,661.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $78.30 / $93.00 / $2,163.00	Facility		$78.30	$93.00	$2,163.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,638.00 / $5,233.00	Facility		$550.00	$1,638.00	$5,233.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $3,996.17 / $10,487.72 / $22,482.49	Facility		$3,996.17	$10,487.72	$22,482.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $195.00 / $350.00	Facility		$118.50	$195.00	$350.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $641.00 / $810.00 / $920.00	Facility		$641.00	$810.00	$920.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,566.00 / $5,810.00	Facility		$550.00	$1,566.00	$5,810.00