Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $389.05 / $2,754.23	Facility		$141.25	$389.05	$2,754.23
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $58.88 / $724.44	Facility		$39.81	$58.88	$724.44
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 $75.86 / $213.80 / $524.81	Facility		$75.86	$213.80	$524.81
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $11,220.18 / $54,954.09	Facility		$616.60	$11,220.18	$54,954.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $89.13 / $302.00	Facility		$23.44	$89.13	$302.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $194.98 / $524.81	Facility		$75.86	$194.98	$524.81