Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.74 / $59.72 / $253.89	Facility		$46.74	$59.72	$253.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.93 / $60.10 / $214.00	Professional		$43.93	$60.10	$214.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $76.56 / $106.71	Professional		$44.67	$76.56	$106.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.78 / $65.89 / $74.34	Facility		$56.78	$65.89	$74.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.78 / $77.18 / $135.29	Professional		$56.78	$77.18	$135.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $43.46 / $59.72 / $143.10	Professional		$43.46	$59.72	$143.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $63.30 / $75.64	Facility		$48.00	$63.30	$75.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.23 / $73.41 / $141.53	Professional		$50.23	$73.41	$141.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.89 / $73.76 / $125.39	Professional		$47.89	$73.76	$125.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $213.45 / $231.90 / $231.90	Facility		$213.45	$231.90	$231.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $306.52 / $402.01 / $402.01	Professional		$306.52	$402.01	$402.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.16 / $85.00 / $88.60	Professional		$53.16	$85.00	$88.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.36 / $65.56 / $101.25	Facility		$45.36	$65.56	$101.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $80.88 / $154.01	Professional		$52.48	$80.88	$154.01
United Facility/Professional Facility Modifier Low / Median / High Price $71.59 / $71.59 / $71.59	Facility		$71.59	$71.59	$71.59
United Facility/Professional Professional Modifier Low / Median / High Price $49.52 / $66.77 / $148.77	Professional		$49.52	$66.77	$148.77