Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $89.13 / $162.18	Facility		$23.99	$89.13	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $38.02 / $117.49	Professional		$21.88	$38.02	$117.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $54.95	Professional		$30.20	$36.31	$54.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $33.88 / $38.02	Facility		$27.54	$33.88	$38.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $40.74 / $67.61	Professional		$27.54	$40.74	$67.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $40.74 / $83.18	Professional		$30.90	$40.74	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $36.31 / $46.77	Facility		$35.48	$36.31	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $41.69 / $74.13	Professional		$25.12	$41.69	$74.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $38.90 / $67.61	Professional		$20.89	$38.90	$67.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $245.47 / $245.47	Professional		$41.69	$245.47	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $53.70	Professional		$32.36	$32.36	$53.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $37.15 / $63.10	Facility		$21.38	$37.15	$63.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $43.65 / $83.18	Professional		$25.70	$43.65	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.88 / $61.66	Professional		$20.89	$33.88	$61.66