Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Facility		$60.00	$60.00	$60.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $60.00 / $72.00	Professional		$20.00	$60.00	$72.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.40 / $92.14 / $103.97	Facility		$79.40	$92.14	$103.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $88.13 / $159.76	Professional		$56.00	$88.13	$159.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $123.56 / $384.20	Professional		$73.00	$123.56	$384.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $128.00 / $638.07	Professional		$91.00	$128.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $300.00	Facility		$300.00	$300.00	$300.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $515.64 / $515.64 / $529.77	Professional		$515.64	$515.64	$529.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $60.00 / $128.86	Facility		$20.00	$60.00	$128.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.19 / $73.00 / $123.56	Professional		$65.19	$73.00	$123.56
United Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $230.00 / $230.00	Professional		$230.00	$230.00	$230.00