Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $1,019.00 / $2,056.00	Facility		$165.00	$1,019.00	$2,056.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $175.25 / $332.80 / $1,114.50	Facility		$175.25	$332.80	$1,114.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $4,215.00 / $13,912.00	Facility		$1,183.00	$4,215.00	$13,912.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.00 / $100.00 / $630.00	Facility		$61.00	$100.00	$630.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.00 / $4,718.00 / $15,688.00	Facility		$389.00	$4,718.00	$15,688.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $678.36 / $5,712.29	Facility		$295.12	$678.36	$5,712.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $224.00 / $400.23	Facility		$118.50	$224.00	$400.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $364.00 / $4,890.00 / $14,453.00	Facility		$364.00	$4,890.00	$14,453.00