Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $112,201.85	Facility		$6,606.93	$6,606.93	$112,201.85
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $3,630.78 / $11,748.98	Facility		$512.86	$3,630.78	$11,748.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18,197.01 / $18,620.87 / $19,498.45	Facility		$18,197.01	$18,620.87	$19,498.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $6,918.31 / $30,902.95	Facility		$1,288.25	$6,918.31	$30,902.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $194.98 / $316.23	Facility		$120.23	$194.98	$316.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $14,125.38 / $14,125.38	Facility		$14,125.38	$14,125.38	$14,125.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,918.31 / $33,113.11	Facility		$6,606.93	$6,918.31	$33,113.11