Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $421.61 / $1,538.70	Facility		$128.69	$421.61	$1,538.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.79 / $634.40 / $1,559.20	Professional		$596.79	$634.40	$1,559.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $201.00 / $201.00 / $201.00	Professional		$201.00	$201.00	$201.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.25 / $319.00 / $876.00	Facility		$51.25	$319.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111,999.98 / $154,999.98 / $2,260,999.77	Professional		$111,999.98	$154,999.98	$2,260,999.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $114.33 / $239.87	Facility		$92.60	$114.33	$239.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.05 / $265.12 / $454.14	Facility		$135.05	$265.12	$454.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.33 / $231.00 / $264.00	Professional		$103.33	$231.00	$264.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $638.07 / $801.00	Professional		$96.00	$638.07	$801.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $960.00 / $960.00 / $960.00	Professional		$960.00	$960.00	$960.00
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 $124.89 / $246.40 / $451.00	Facility		$124.89	$246.40	$451.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.33 / $231.00 / $264.00	Professional		$103.33	$231.00	$264.00