Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,196.80 / $1,758.00 / $3,923.00	Facility		$1,196.80	$1,758.00	$3,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.74 / $1,131.57 / $1,387.20	Professional		$218.74	$1,131.57	$1,387.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $272.18 / $272.18 / $272.18	Professional		$272.18	$272.18	$272.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $486.00 / $876.00	Facility		$203.00	$486.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.64 / $315.81 / $436.61	Professional		$267.64	$315.81	$436.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.25 / $134.91 / $504.52	Professional		$40.25	$134.91	$504.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.06 / $2,105.37 / $4,878.00	Facility		$76.06	$2,105.37	$4,878.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,013.41 / $1,122.03 / $1,122.03	Professional		$1,013.41	$1,122.03	$1,122.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $212.69 / $450.67	Professional		$37.44	$212.69	$450.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $595.44 / $1,174.39 / $1,293.79	Facility		$595.44	$1,174.39	$1,293.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,488.60 / $1,555.83 / $2,344.28	Professional		$1,488.60	$1,555.83	$2,344.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $85.00	Professional		$30.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.93 / $386.66 / $1,217.90	Facility		$44.93	$386.66	$1,217.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $71.91 / $527.53	Professional		$40.70	$71.91	$527.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.10 / $49.63 / $429.74	Professional		$36.10	$49.63	$429.74
United Facility/Professional Facility Modifier Low / Median / High Price $348.70 / $348.70 / $348.70	Facility		$348.70	$348.70	$348.70
United Facility/Professional Professional Modifier Low / Median / High Price $712.91 / $966.34 / $2,467.81	Professional		$712.91	$966.34	$2,467.81