Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,454.71 / $6,025.60	Facility		$1,000.00	$2,454.71	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $478.63 / $1,000.00	Professional		$95.50	$478.63	$1,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $57.54 / $58.88	Facility		$51.29	$57.54	$58.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $208.93 / $407.38	Professional		$83.18	$208.93	$407.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $263.03 / $1,000.00	Facility		$97.72	$263.03	$1,000.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $138.04 / $229.09	Professional		$97.72	$138.04	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $245.47 / $4,168.69	Facility		$112.20	$245.47	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $141.25 / $398.11	Professional		$77.62	$141.25	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $831.76	Professional		$346.74	$524.81	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $1,258.93	Professional		$794.33	$794.33	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $173.78 / $602.56	Facility		$97.72	$173.78	$602.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $134.90 / $398.11	Professional		$70.79	$134.90	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $144.54 / $218.78	Facility		$138.04	$144.54	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $676.08	Professional		$95.50	$123.03	$676.08