Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,023.29 / $2,041.74	Facility		$165.96	$1,023.29	$2,041.74
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $257.04 / $489.78	Facility		$104.71	$257.04	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $12,022.64	Facility		$1,348.96	$3,548.13	$12,022.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $85.11 / $97.72	Facility		$52.48	$85.11	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,677.35 / $15,848.93	Facility		$389.05	$4,677.35	$15,848.93
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $776.25 / $3,388.44	Facility		$426.58	$776.25	$3,388.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $208.93 / $331.13	Facility		$117.49	$208.93	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $4,677.35 / $16,218.10	Facility		$407.38	$4,677.35	$16,218.10