Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $374.00 / $516.00	Facility		$230.00	$374.00	$516.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $138.25 / $207.00 / $297.00	Facility		$138.25	$207.00	$297.00
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 $62.90 / $100.00 / $442.00	Facility		$62.90	$100.00	$442.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $186.00 / $420.00	Facility		$85.00	$186.00	$420.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $875.43 / $25,279.79 / $69,933.84	Facility		$875.43	$25,279.79	$69,933.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $23.75 / $118.50 / $300.00	Facility		$23.75	$118.50	$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 / $172.00 / $453.00	Facility		$75.00	$172.00	$453.00