Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $2,754.23	Facility		$181.97	$181.97	$2,754.23
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $173.78 / $1,202.26	Facility		$79.43	$173.78	$1,202.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $89.13 / $100.00	Facility		$56.23	$89.13	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $524.81 / $537.03	Facility		$199.53	$524.81	$537.03
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $5,128.61 / $16,595.87	Facility		$1,862.09	$5,128.61	$16,595.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $194.98 / $331.13	Facility		$117.49	$194.98	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $524.81 / $537.03	Facility		$199.53	$524.81	$537.03