Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $29.51 / $162.18	Facility		$4.47	$29.51	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $5.37 / $16.60	Professional		$2.82	$5.37	$16.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $12.02 / $23.99	Professional		$3.72	$12.02	$23.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,882.50	Facility		$2,570.40	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $6.92 / $30.20	Professional		$1.15	$6.92	$30.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.95 / $3.80	Professional		$1.35	$1.95	$3.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.18 / $0.69 / $8.13	Facility		$0.18	$0.69	$8.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $4.07 / $10.00	Professional		$3.09	$4.07	$10.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $16.98 / $1,698.24	Professional		$5.01	$16.98	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $79.43 / $79.43	Professional		$28.84	$79.43	$79.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $4.90 / $8.91	Facility		$0.32	$4.90	$8.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.89 / $10.00	Professional		$3.09	$3.89	$10.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $3.02 / $6.76	Professional		$1.78	$3.02	$6.76