Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $416.87 / $1,000.00	Facility		$194.98	$416.87	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $724.44	Professional		$213.80	$281.84	$724.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $1,071.52	Professional		$257.04	$257.04	$1,071.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $302.00 / $549.54	Facility		$257.04	$302.00	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $575.44	Professional		$239.88	$281.84	$575.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $100.00 / $295.12	Facility		$83.18	$100.00	$295.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $724.44	Professional		$269.15	$354.81	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $323.59 / $398.11	Professional		$269.15	$323.59	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $346.74 / $758.58	Facility		$281.84	$346.74	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $309.03 / $398.11	Professional		$234.42	$309.03	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $281.84 / $602.56	Professional		$257.04	$281.84	$602.56