Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.00 / $2,750.00 / $2,750.00	Facility		$179.00	$2,750.00	$2,750.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $148.03 / $365.64 / $584.98	Facility		$148.03	$365.64	$584.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.00 / $422.00 / $1,172.00	Facility		$207.00	$422.00	$1,172.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $100.00 / $578.00	Facility		$64.00	$100.00	$578.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.00 / $234.00 / $453.00	Facility		$156.00	$234.00	$453.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $1,680.30 / $5,576.85 / $18,930.00	Facility		$1,680.30	$5,576.85	$18,930.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $205.00 / $528.00	Facility		$118.50	$205.00	$528.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $234.00 / $453.00	Facility		$200.00	$234.00	$453.00