Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $245.47 / $512.86	Facility		$141.25	$245.47	$512.86
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
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 / $199.53 / $524.81	Facility		$75.86	$199.53	$524.81
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $6,606.93 / $56,234.13	Facility		$275.42	$6,606.93	$56,234.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $117.49 / $302.00	Facility		$23.44	$117.49	$302.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $194.98 / $524.81	Facility		$75.86	$194.98	$524.81