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 $552.83 / $770.90 / $3,452.38	Facility		$552.83	$770.90	$3,452.38
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 $2,380.98 / $8,945.12 / $28,638.90	Facility		$2,380.98	$8,945.12	$28,638.90
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 / $810.00	Facility		$810.00	$810.00	$810.00
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