Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,640.00 / $6,640.00 / $6,640.00	Facility		$6,640.00	$6,640.00	$6,640.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $1,520.11 / $2,532.46 / $4,002.75	Facility		$1,520.11	$2,532.46	$4,002.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,593.00 / $10,064.00 / $18,250.00	Facility		$3,593.00	$10,064.00	$18,250.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $21,694.00 / $27,118.00	Facility		$1,300.00	$21,694.00	$27,118.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $3,241.00 / $6,931.35 / $19,162.00	Facility		$3,241.00	$6,931.35	$19,162.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $195.00 / $315.00	Facility		$118.50	$195.00	$315.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,738.00 / $10,000.00 / $10,460.00	Facility		$7,738.00	$10,000.00	$10,460.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $27,118.00	Facility		$1,300.00	$1,300.00	$27,118.00