Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $512.86 / $1,023.29	Facility		$251.19	$512.86	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $794.33	Professional		$281.84	$380.19	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $1,445.44	Professional		$316.23	$316.23	$1,445.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $398.11 / $812.83	Facility		$338.84	$398.11	$812.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $331.13 / $891.25	Professional		$302.00	$331.13	$891.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $100.00 / $407.38	Facility		$85.11	$100.00	$407.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $933.25	Professional		$316.23	$407.38	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $346.74 / $707.95	Professional		$281.84	$346.74	$707.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $426.58 / $724.44	Professional		$363.08	$426.58	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $446.68 / $870.96	Facility		$316.23	$446.68	$870.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $346.74 / $537.03	Professional		$251.19	$346.74	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $331.13	Facility		$309.03	$309.03	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $354.81 / $707.95	Professional		$338.84	$354.81	$707.95