Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $2,511.89 / $44,668.36	Facility		$354.81	$2,511.89	$44,668.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $537.03	Professional		$89.13	$107.15	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
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 $64.57 / $158.49 / $331.13	Professional		$64.57	$158.49	$331.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $6,025.60	Facility		$63.10	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $295.12	Professional		$100.00	$151.36	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $128.82 / $281.84	Professional		$104.71	$128.82	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $562.34 / $812.83	Professional		$141.25	$562.34	$812.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $1,621.81	Professional		$831.76	$831.76	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $123.03 / $199.53	Facility		$93.33	$123.03	$199.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $263.03	Professional		$102.33	$128.82	$263.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $85.11 / $104.71	Professional		$75.86	$85.11	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,165.95 / $18,620.87	Facility		$1,995.26	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $288.40	Professional		$81.28	$112.20	$288.40