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 $180.49 / $182.80 / $354.50	Facility		$180.49	$182.80	$354.50
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 $85.00 / $192.00 / $453.00	Facility		$85.00	$192.00	$453.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $432.50 / $4,098.08 / $40,056.28	Facility		$432.50	$4,098.08	$40,056.28
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 $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