Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.42 / $183.76 / $639.47	Facility		$78.42	$183.76	$639.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.79 / $143.01 / $333.13	Professional		$111.79	$143.01	$333.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.25 / $150.00 / $793.00	Professional		$66.25	$150.00	$793.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.47 / $293.00 / $876.00	Facility		$40.47	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.06 / $165.37 / $277.98	Professional		$95.06	$165.37	$277.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $127.55 / $182.21 / $365.42	Professional		$127.55	$182.21	$365.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.94 / $315.70 / $660.71	Facility		$154.94	$315.70	$660.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.33 / $178.65 / $389.31	Professional		$119.33	$178.65	$389.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.00 / $180.00 / $752.00	Professional		$142.00	$180.00	$752.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $321.66 / $843.41 / $843.41	Facility		$321.66	$843.41	$843.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,024.30 / $1,024.30 / $1,326.30	Professional		$1,024.30	$1,024.30	$1,326.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $70.00	Professional		$30.00	$60.00	$70.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.34 / $211.82 / $332.29	Facility		$131.34	$211.82	$332.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.32 / $176.64 / $390.38	Professional		$128.32	$176.64	$390.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $12.50 / $12.50	Professional		$12.50	$12.50	$12.50
United Facility/Professional Facility Modifier Low / Median / High Price $182.23 / $182.23 / $182.23	Facility		$182.23	$182.23	$182.23
United Facility/Professional Professional Modifier Low / Median / High Price $102.88 / $188.97 / $449.74	Professional		$102.88	$188.97	$449.74