Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $196.86 / $196.86 / $196.86	Facility		$196.86	$196.86	$196.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $4,204.00 / $6,916.00	Facility		$1,450.00	$4,204.00	$6,916.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,000.00 / $13,000.00 / $13,000.00	Facility		$13,000.00	$13,000.00	$13,000.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $423.78 / $423.78 / $423.78	Facility		$423.78	$423.78	$423.78
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 $2,130.00 / $2,130.00 / $2,130.00	Facility		$2,130.00	$2,130.00	$2,130.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $13,000.00 / $13,000.00 / $13,000.00	Facility		$13,000.00	$13,000.00	$13,000.00