Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $154.88	Facility		$23.99	$23.99	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $23.99	Professional		$15.14	$19.05	$23.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $4.27	Professional		$3.80	$3.80	$4.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $6.92 / $7.41	Facility		$6.92	$6.92	$7.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.94 / $52.48	Professional		$5.37	$7.94	$52.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.49 / $16.60	Professional		$11.22	$13.49	$16.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.12 / $52.48	Professional		$21.88	$25.12	$52.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $79.43 / $79.43	Facility		$70.79	$79.43	$79.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $45.71 / $45.71	Professional		$40.74	$45.71	$45.71
Optum Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $19.50 / $28.84	Facility		$6.46	$19.50	$28.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $42.66	Professional		$12.02	$14.13	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $6.03 / $14.13	Professional		$4.47	$6.03	$14.13