Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,479.11 / $3,630.78	Facility		$794.33	$1,479.11	$3,630.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $89.13 / $100.00	Facility		$61.66	$89.13	$100.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $12,302.69 / $44,668.36	Facility		$3,548.13	$12,302.69	$44,668.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $194.98 / $316.23	Facility		$117.49	$194.98	$316.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $25,703.96 / $25,703.96 / $25,703.96	Facility		$25,703.96	$25,703.96	$25,703.96