Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,835.10 / $5,524.95 / $8,840.34	Facility		$2,835.10	$5,524.95	$8,840.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.14 / $1,040.04 / $2,686.40	Professional		$574.14	$1,040.04	$2,686.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.04 / $197.51 / $1,264.80	Professional		$108.04	$197.51	$1,264.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $353.00 / $876.00	Facility		$203.00	$353.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.30 / $205.01 / $398.54	Professional		$120.30	$205.01	$398.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $79.00 / $91.00	Facility		$79.00	$79.00	$91.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $293.87 / $445.88 / $1,087.46	Professional		$293.87	$445.88	$1,087.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.13 / $102.95 / $123.35	Professional		$97.13	$102.95	$123.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.96 / $77.03 / $129.62	Professional		$62.96	$77.03	$129.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $909.44 / $2,613.82 / $2,613.82	Facility		$909.44	$2,613.82	$2,613.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,779.80 / $1,779.80 / $1,779.80	Professional		$1,779.80	$1,779.80	$1,779.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $85.00	Professional		$60.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.48 / $91.99 / $251.10	Facility		$75.48	$91.99	$251.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.63 / $88.36 / $129.62	Professional		$68.63	$88.36	$129.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $66.63 / $74.95 / $91.62	Professional		$66.63	$74.95	$91.62
United Facility/Professional Facility Modifier Low / Median / High Price $78.92 / $78.92 / $78.92	Facility		$78.92	$78.92	$78.92
United Facility/Professional Professional Modifier Low / Median / High Price $293.16 / $374.61 / $927.49	Professional		$293.16	$374.61	$927.49