Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.00 / $80.34 / $289.00	Facility		$71.00	$80.34	$289.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $93.20 / $269.12 / $758.39	Facility		$93.20	$269.12	$758.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $119.00 / $123.00	Facility		$69.00	$119.00	$123.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $46.10 / $71.20 / $118.00	Facility		$46.10	$71.20	$118.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $244.00	Facility		$35.00	$35.00	$244.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $178.87 / $1,272.38 / $6,220.41	Facility		$178.87	$1,272.38	$6,220.41
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 $35.00 / $110.00 / $244.00	Facility		$35.00	$110.00	$244.00