Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $933.25 / $1,023.29	Facility		$549.54	$933.25	$1,023.29
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 $213.80 / $12,302.69 / $37,153.52	Facility		$213.80	$12,302.69	$37,153.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $194.98 / $331.13	Facility		$117.49	$194.98	$331.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $3,801.89	Facility		$812.83	$812.83	$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