Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.74 / $106.09 / $437.82	Facility		$92.74	$106.09	$437.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $106.09 / $300.92	Professional		$85.26	$106.09	$300.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $101.50	Professional		$60.00	$60.00	$101.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.95 / $131.07 / $147.90	Facility		$112.95	$131.07	$147.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.10 / $144.75 / $255.55	Professional		$106.10	$144.75	$255.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $104.87 / $259.54	Professional		$77.09	$104.87	$259.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.81 / $127.81 / $132.57	Facility		$127.81	$127.81	$132.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $132.53 / $263.04	Professional		$96.00	$132.53	$263.04
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $277.44 / $277.44 / $277.44	Professional		$277.44	$277.44	$277.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.20 / $137.09 / $222.23	Professional		$96.20	$137.09	$222.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $431.45 / $467.26 / $467.26	Facility		$431.45	$467.26	$467.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $607.13 / $702.61 / $702.61	Professional		$607.13	$702.61	$702.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $156.65	Professional		$60.00	$85.00	$156.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.23 / $127.01 / $182.62	Facility		$87.23	$127.01	$182.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.25 / $143.66 / $273.83	Professional		$101.25	$143.66	$273.83
United Facility/Professional Facility Modifier Low / Median / High Price $125.57 / $125.57 / $125.57	Facility		$125.57	$125.57	$125.57
United Facility/Professional Professional Modifier Low / Median / High Price $87.48 / $116.93 / $277.30	Professional		$87.48	$116.93	$277.30