Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $933.25 / $933.25	Facility		$169.82	$933.25	$933.25
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $77.62 / $154.88	Facility		$23.99	$77.62	$154.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $100.00	Facility		$61.66	$100.00	$100.00
HealthNet Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $165.96 / $5,011.87	Facility		$77.62	$165.96	$5,011.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $194.98 / $316.23	Facility		$117.49	$194.98	$316.23