Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,754.23 / $2,754.23	Facility		$2,454.71	$2,754.23	$2,754.23
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $676.08 / $3,311.31	Facility		$190.55	$676.08	$3,311.31
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 $346.74 / $1,621.81 / $5,623.41	Facility		$346.74	$1,621.81	$5,623.41
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $10,000.00 / $21,379.62	Facility		$3,981.07	$10,000.00	$21,379.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $194.98 / $331.13	Facility		$120.23	$194.98	$331.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $3,467.37	Facility		$912.01	$912.01	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,548.82 / $5,888.44	Facility		$407.38	$1,548.82	$5,888.44