Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,090.00 / $5,019.00 / $9,560.00	Facility		$4,090.00	$5,019.00	$9,560.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $2,779.92 / $4,715.00 / $6,600.52	Facility		$2,779.92	$4,715.00	$6,600.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,691.00 / $2,895.00 / $4,866.00	Facility		$2,691.00	$2,895.00	$4,866.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $82.20 / $93.00 / $3,827.00	Facility		$82.20	$93.00	$3,827.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,601.00 / $2,921.00 / $7,727.00	Facility		$1,601.00	$2,921.00	$7,727.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $3,234.28 / $9,363.75 / $17,255.38	Facility		$3,234.28	$9,363.75	$17,255.38
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 $1,601.00 / $2,663.00 / $7,300.00	Facility		$1,601.00	$2,663.00	$7,300.00