Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $190.55 / $676.08	Facility		$63.10	$190.55	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $416.87	Professional		$112.20	$158.49	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $131.83 / $478.63	Professional		$66.07	$131.83	$478.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $46.77 / $46.77	Facility		$40.74	$46.77	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $275.42	Professional		$120.23	$181.97	$275.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $371.54	Professional		$162.18	$213.80	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $323.59 / $691.83	Facility		$154.88	$323.59	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $371.54	Professional		$120.23	$181.97	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $758.58	Professional		$141.25	$181.97	$758.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $1,318.26 / $1,318.26	Professional		$295.12	$1,318.26	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $194.98 / $338.84	Facility		$125.89	$194.98	$338.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $354.81	Professional		$117.49	$169.82	$354.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $186.21 / $363.08	Professional		$102.33	$186.21	$363.08