Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $46.77 / $107.15	Facility		$12.02	$46.77	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.95 / $45.71	Professional		$10.00	$19.95	$45.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $17.78 / $19.95	Facility		$14.45	$17.78	$19.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $25.12 / $46.77	Professional		$14.45	$25.12	$46.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $22.91 / $48.98	Professional		$17.38	$22.91	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $22.91 / $45.71	Professional		$13.18	$22.91	$45.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $25.12 / $44.67	Professional		$10.96	$25.12	$44.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $154.88	Facility		$128.82	$128.82	$154.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $22.39 / $42.66	Facility		$11.75	$22.39	$42.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $23.99 / $53.70	Professional		$13.49	$23.99	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $19.05 / $37.15	Professional		$10.96	$19.05	$37.15