Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.00 / $477.00 / $2,427.00	Facility		$159.00	$477.00	$2,427.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $177.89 / $816.79 / $10,315.90	Facility		$177.89	$816.79	$10,315.90
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 $1,510.24 / $6,576.00 / $17,169.66	Facility		$1,510.24	$6,576.00	$17,169.66
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 $500.00 / $810.00 / $920.00	Facility		$500.00	$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