Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26,010.00 / $43,171.00 / $101,575.00	Facility		$26,010.00	$43,171.00	$101,575.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $2,075.63 / $2,075.63 / $2,075.63	Facility		$2,075.63	$2,075.63	$2,075.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,523.00 / $18,326.00 / $32,200.00	Facility		$12,523.00	$18,326.00	$32,200.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $76.50 / $76.50 / $80.00	Facility		$76.50	$76.50	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36,293.00 / $227,873.00 / $444,485.00	Facility		$36,293.00	$227,873.00	$444,485.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $6,587.96 / $6,587.96 / $6,587.96	Facility		$6,587.96	$6,587.96	$6,587.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $205.00 / $315.00	Facility		$118.50	$205.00	$315.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $36,407.00 / $250,423.00 / $444,485.00	Facility		$36,407.00	$250,423.00	$444,485.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,279.00 / $5,279.00 / $5,279.00	Facility		$5,279.00	$5,279.00	$5,279.00