Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.00 / $179.00 / $179.00	Facility		$179.00	$179.00	$179.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $96.68 / $96.68 / $134.93	Facility		$96.68	$96.68	$134.93
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 $2,534.48 / $6,908.40 / $15,565.75	Facility		$2,534.48	$6,908.40	$15,565.75
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