Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,750.00 / $2,750.00 / $2,750.00	Facility		$2,750.00	$2,750.00	$2,750.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $189.71 / $437.01 / $1,311.88	Facility		$189.71	$437.01	$1,311.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $82.20 / $93.00 / $482.00	Facility		$82.20	$93.00	$482.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,315.00 / $6,763.00 / $14,971.00	Facility		$2,315.00	$6,763.00	$14,971.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $2,186.50 / $6,094.61 / $14,260.30	Facility		$2,186.50	$6,094.61	$14,260.30
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 $2,315.00 / $6,763.00 / $14,971.00	Facility		$2,315.00	$6,763.00	$14,971.00