Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,220.00 / $2,254.00 / $4,214.00	Facility		$1,220.00	$2,254.00	$4,214.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $1,863.59 / $1,863.59 / $1,863.59	Facility		$1,863.59	$1,863.59	$1,863.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,026.00 / $2,827.00 / $12,619.00	Facility		$1,026.00	$2,827.00	$12,619.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.00 / $98.60 / $1,319.20	Facility		$61.00	$98.60	$1,319.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,684.00 / $6,008.00 / $16,988.00	Facility		$2,684.00	$6,008.00	$16,988.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $147.52 / $2,524.60 / $60,275.18	Facility		$147.52	$2,524.60	$60,275.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $195.00 / $315.00	Facility		$118.50	$195.00	$315.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,231.00 / $6,584.00 / $16,376.00	Facility		$2,231.00	$6,584.00	$16,376.00