Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,645.00 / $6,640.00 / $113,443.00	Facility		$2,645.00	$6,640.00	$113,443.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $5,369.00 / $10,438.58 / $16,450.02	Facility		$5,369.00	$10,438.58	$16,450.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $6,892.00 / $18,250.00	Facility		$2,275.00	$6,892.00	$18,250.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $85.40 / $5,527.00 / $10,983.00	Facility		$85.40	$5,527.00	$10,983.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $7,350.00 / $27,118.00	Facility		$1,300.00	$7,350.00	$27,118.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $5,839.00 / $19,754.57 / $49,110.96	Facility		$5,839.00	$19,754.57	$49,110.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $195.00 / $315.00	Facility		$135.00	$195.00	$315.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,738.00 / $10,000.00 / $10,460.00	Facility		$7,738.00	$10,000.00	$10,460.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $27,118.00	Facility		$1,300.00	$1,300.00	$27,118.00