Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.96 / $35.22 / $157.91	Facility		$22.96	$35.22	$157.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $35.64 / $129.00	Professional		$22.16	$35.64	$129.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $37.90 / $66.70	Professional		$30.00	$37.90	$66.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.66 / $32.10 / $36.22	Facility		$27.66	$32.10	$36.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.93 / $42.69 / $75.05	Professional		$27.93	$42.69	$75.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $35.64 / $93.77	Professional		$27.09	$35.64	$93.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.39 / $31.39 / $46.76	Facility		$31.39	$31.39	$46.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $41.90 / $82.57	Professional		$25.27	$41.90	$82.57
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $34.99 / $34.99 / $187.18	Professional		$34.99	$34.99	$187.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.70 / $42.03 / $74.68	Professional		$23.70	$42.03	$74.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $105.96 / $114.90 / $114.90	Facility		$105.96	$114.90	$114.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $243.64 / $243.64	Professional		$150.33	$243.64	$243.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.31 / $70.00 / $85.00	Professional		$32.31	$70.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $35.22 / $59.45	Facility		$22.51	$35.22	$59.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.41 / $46.08 / $93.45	Professional		$26.41	$46.08	$93.45
United Facility/Professional Facility Modifier Low / Median / High Price $44.03 / $44.03 / $44.03	Facility		$44.03	$44.03	$44.03
United Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $40.32 / $97.91	Professional		$29.40	$40.32	$97.91