Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $316.23 / $1,288.25	Facility		$181.97	$316.23	$1,288.25
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 $2,290.87 / $7,244.36 / $15,135.61	Facility		$2,290.87	$7,244.36	$15,135.61
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $6,309.57 / $13,182.57	Facility		$2,238.72	$6,309.57	$13,182.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $194.98 / $316.23	Facility		$120.23	$194.98	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $6,760.83 / $15,135.61	Facility		$1,819.70	$6,760.83	$15,135.61