Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,750.00 / $2,750.00 / $2,750.00	Facility		$2,750.00	$2,750.00	$2,750.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $94.34 / $228.64 / $532.50	Facility		$94.34	$228.64	$532.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.77 / $368.40 / $891.00	Facility		$217.77	$368.40	$891.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $82.20 / $93.00 / $237.00	Facility		$82.20	$93.00	$237.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $3,453.00 / $9,110.28 / $19,379.97	Facility		$3,453.00	$9,110.28	$19,379.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $195.00 / $315.00	Facility		$118.50	$195.00	$315.00