Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $374.00 / $720.00	Facility		$230.00	$374.00	$720.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $150.13 / $176.18 / $715.44	Facility		$150.13	$176.18	$715.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.00 / $422.00 / $1,172.00	Facility		$198.00	$422.00	$1,172.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $62.90 / $100.00 / $483.00	Facility		$62.90	$100.00	$483.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $192.00 / $420.00	Facility		$80.00	$192.00	$420.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $524.17 / $2,532.41 / $36,337.39	Facility		$524.17	$2,532.41	$36,337.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $23.75 / $84.00 / $300.00	Facility		$23.75	$84.00	$300.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $110.00	Facility		$110.00	$110.00	$110.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $172.00 / $453.00	Facility		$75.00	$172.00	$453.00