Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $116.28 / $203.52 / $935.17	Facility		$116.28	$203.52	$935.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $102.00 / $283.00	Facility		$48.00	$102.00	$283.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $82.20 / $93.00 / $251.00	Facility		$82.20	$93.00	$251.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $5,315.00 / $14,971.00	Facility		$1,800.00	$5,315.00	$14,971.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $642.84 / $1,671.41 / $5,469.05	Facility		$642.84	$1,671.41	$5,469.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $195.00 / $315.00	Facility		$118.50	$195.00	$315.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,638.00 / $5,315.00 / $14,971.00	Facility		$1,638.00	$5,315.00	$14,971.00