Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $374.00 / $720.00	Facility		$230.00	$374.00	$720.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $34.90 / $63.48 / $713.38	Facility		$34.90	$63.48	$713.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.00 / $421.00 / $1,172.00	Facility		$207.00	$421.00	$1,172.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $62.90 / $100.00 / $442.00	Facility		$62.90	$100.00	$442.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $186.00 / $420.00	Facility		$80.00	$186.00	$420.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $662.85 / $10,922.45 / $40,449.26	Facility		$662.85	$10,922.45	$40,449.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $84.00 / $300.00	Facility		$23.50	$84.00	$300.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $500.00	Facility		$100.00	$100.00	$500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $174.00 / $453.00	Facility		$75.00	$174.00	$453.00