Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $165.00 / $165.00	Facility		$165.00	$165.00	$165.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $192.22 / $472.72 / $634.60	Facility		$192.22	$472.72	$634.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,126.00 / $2,022.00 / $3,547.00	Facility		$1,126.00	$2,022.00	$3,547.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $48.20 / $84.40 / $123.00	Facility		$48.20	$84.40	$123.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.00 / $333.00 / $550.00	Facility		$226.00	$333.00	$550.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $472.72 / $823.42 / $1,293.96	Facility		$472.72	$823.42	$1,293.96
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 $225.00 / $333.00 / $550.00	Facility		$225.00	$333.00	$550.00