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 $32.36 / $158.49 / $851.14	Facility		$32.36	$158.49	$851.14
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 $870.96 / $19,498.45 / $70,794.58	Facility		$870.96	$19,498.45	$70,794.58
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