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 $398.11 / $851.14 / $4,570.88	Facility		$398.11	$851.14	$4,570.88
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 $4,265.80 / $10,964.78 / $22,387.21	Facility		$4,265.80	$10,964.78	$22,387.21
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 $812.83 / $812.83 / $912.01	Facility		$812.83	$812.83	$912.01
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