Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $398.11	Professional		$87.10	$87.10	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $89.13	Professional		$21.38	$21.38	$89.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $194.98 / $218.78	Facility		$158.49	$194.98	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $165.96 / $245.47	Professional		$79.43	$165.96	$245.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $218.78 / $870.96	Professional		$47.86	$218.78	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $389.05 / $724.44	Professional		$245.47	$389.05	$724.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $616.60 / $616.60	Professional		$549.54	$616.60	$616.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $131.83 / $758.58	Facility		$87.10	$131.83	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $79.43 / $85.11	Professional		$47.86	$79.43	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $363.08	Professional		$151.36	$151.36	$363.08