Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.69 / $82.68 / $344.74	Facility		$69.69	$82.68	$344.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.03 / $82.68 / $193.73	Professional		$64.03	$82.68	$193.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.90 / $78.90 / $78.90	Professional		$78.90	$78.90	$78.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.44 / $97.98 / $110.57	Facility		$84.44	$97.98	$110.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.54 / $109.63 / $195.58	Professional		$81.54	$109.63	$195.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $83.05 / $200.24	Professional		$60.12	$83.05	$200.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.69 / $94.69 / $104.10	Facility		$94.69	$94.69	$104.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.28 / $103.55 / $206.12	Professional		$73.28	$103.55	$206.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.54 / $106.25 / $171.57	Professional		$71.54	$106.25	$171.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $319.41 / $346.80 / $346.80	Facility		$319.41	$346.80	$346.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $451.48 / $546.96 / $546.96	Professional		$451.48	$546.96	$546.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $122.38	Professional		$60.00	$85.00	$122.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.28 / $95.39 / $142.12	Facility		$68.28	$95.39	$142.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.65 / $113.60 / $213.31	Professional		$77.65	$113.60	$213.31
United Facility/Professional Facility Modifier Low / Median / High Price $98.39 / $98.39 / $98.39	Facility		$98.39	$98.39	$98.39
United Facility/Professional Professional Modifier Low / Median / High Price $68.04 / $91.08 / $210.99	Professional		$68.04	$91.08	$210.99