Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $294.73 / $294.73 / $294.73	Facility		$294.73	$294.73	$294.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $87.10 / $121.00	Facility		$49.00	$87.10	$121.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $244.00	Facility		$35.00	$35.00	$244.00
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 / $35.00 / $244.00	Facility		$35.00	$35.00	$244.00