Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $374.00 / $516.00	Facility		$240.00	$374.00	$516.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $282.33 / $282.33 / $282.33	Facility		$282.33	$282.33	$282.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.00 / $422.00 / $1,172.00	Facility		$207.00	$422.00	$1,172.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $62.08 / $100.00 / $442.00	Facility		$62.08	$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 $430.99 / $846.44 / $50,039.37	Facility		$430.99	$846.44	$50,039.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $23.75 / $100.00 / $300.00	Facility		$23.75	$100.00	$300.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $186.00 / $453.00	Facility		$75.00	$186.00	$453.00