Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.00 / $878.00 / $878.00	Facility		$171.00	$878.00	$878.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $21.25 / $89.57 / $199.98	Facility		$21.25	$89.57	$199.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.00 / $205.00 / $366.00	Facility		$159.00	$205.00	$366.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.00 / $100.00 / $535.00	Facility		$61.00	$100.00	$535.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $59.52 / $187.51 / $2,048.23	Facility		$59.52	$187.51	$2,048.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $195.00 / $315.00	Facility		$118.50	$195.00	$315.00