Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $53.70 / $123.03	Facility		$22.91	$53.70	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.20 / $70.79	Professional		$22.39	$30.20	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $95.50	Professional		$23.44	$23.44	$95.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $29.51 / $61.66	Facility		$25.12	$29.51	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $24.55 / $46.77	Professional		$20.89	$24.55	$46.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $23.44 / $33.88	Facility		$20.89	$23.44	$33.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.20 / $64.57	Professional		$23.44	$30.20	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.70 / $51.29	Professional		$20.89	$25.70	$51.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $31.62 / $50.12	Professional		$25.12	$31.62	$50.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $33.11 / $61.66	Facility		$22.91	$33.11	$61.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $25.70 / $39.81	Professional		$18.62	$25.70	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $38.02 / $38.02	Facility		$22.39	$38.02	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $25.12 / $51.29	Professional		$22.91	$25.12	$51.29