Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,454.71 / $2,754.23	Facility		$1,174.90	$2,454.71	$2,754.23
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,230.27 / $7,762.47	Facility		$645.65	$1,230.27	$7,762.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $89.13 / $100.00	Facility		$61.66	$89.13	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,089.30 / $5,623.41	Facility		$549.54	$2,089.30	$5,623.41
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $13,489.63 / $30,199.52	Facility		$2,041.74	$13,489.63	$30,199.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $194.98 / $331.13	Facility		$120.23	$194.98	$331.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $3,801.89	Facility		$912.01	$912.01	$3,801.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,905.46 / $5,888.44	Facility		$602.56	$1,905.46	$5,888.44