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 $134.90 / $190.55 / $602.56	Facility		$134.90	$190.55	$602.56
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 $1,737.80 / $31,622.78 / $95,499.26	Facility		$1,737.80	$31,622.78	$95,499.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $100.00 / $302.00	Facility		$23.44	$100.00	$302.00
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 $75.86 / $186.21 / $524.81	Facility		$75.86	$186.21	$524.81