Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,995.26 / $2,818.38	Facility		$457.09	$1,995.26	$2,818.38
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $1,412.54	Facility		$338.84	$338.84	$1,412.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $53.70 / $100.00	Facility		$46.77	$53.70	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $537.03 / $1,862.09	Facility		$229.09	$537.03	$1,862.09
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $724.44 / $1,819.70	Facility		$575.44	$724.44	$1,819.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $194.98 / $316.23	Facility		$117.49	$194.98	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $416.87 / $1,862.09	Facility		$229.09	$416.87	$1,862.09