Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.00 / $1,032.00 / $2,427.00	Facility		$159.00	$1,032.00	$2,427.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $568.19 / $1,131.54 / $5,299.48	Facility		$568.19	$1,131.54	$5,299.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,781.00 / $2,477.00 / $4,278.00	Facility		$1,781.00	$2,477.00	$4,278.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $78.30 / $93.00 / $2,514.00	Facility		$78.30	$93.00	$2,514.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $601.00 / $2,012.00 / $5,759.00	Facility		$601.00	$2,012.00	$5,759.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $2,414.92 / $7,743.00 / $26,596.08	Facility		$2,414.92	$7,743.00	$26,596.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $195.00 / $350.00	Facility		$118.50	$195.00	$350.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $810.00 / $810.00 / $920.00	Facility		$810.00	$810.00	$920.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $1,874.00 / $5,835.00	Facility		$720.00	$1,874.00	$5,835.00