Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.61 / $2.61 / $883.51	Facility		$2.61	$2.61	$883.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $2.61 / $5.24	Professional		$2.61	$2.61	$5.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $22.50 / $22.50	Professional		$22.50	$22.50	$22.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.97 / $5.92 / $10.01	Facility		$4.97	$5.92	$10.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $6.80 / $8.00	Professional		$5.77	$6.80	$8.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $1.30 / $1.30	Professional		$1.30	$1.30	$1.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.00 / $638.07	Professional		$10.00	$12.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10.92 / $90.00 / $90.00	Facility		$10.92	$90.00	$90.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $44.16 / $45.93 / $48.08	Professional		$44.16	$45.93	$48.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.83 / $8.53 / $12.48	Facility		$4.83	$8.53	$12.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $1.30 / $1.30	Professional		$1.30	$1.30	$1.30
United Facility/Professional Professional Modifier Low / Median / High Price $3.32 / $3.68 / $11.30	Professional		$3.32	$3.68	$11.30