Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $36.31 / $120.23	Professional		$15.85	$36.31	$120.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $30.90 / $77.62	Facility		$24.55	$30.90	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Professional		$32.36	$32.36	$32.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $47.86	Professional		$19.95	$28.18	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $109.65 / $288.40	Professional		$97.72	$109.65	$288.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $21.38 / $43.65	Facility		$19.95	$21.38	$43.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62