Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $72.44 / $39,810.72	Facility		$8.91	$72.44	$39,810.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.88 / $87.10	Professional		$9.12	$12.88	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $60.26 / $79.43	Professional		$37.15	$60.26	$79.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $18.20 / $45.71	Facility		$14.45	$18.20	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.50 / $40.74	Professional		$16.60	$19.50	$40.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $40.74 / $75.86	Professional		$28.84	$40.74	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $125.89 / $630.96	Professional		$46.77	$125.89	$630.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $162.18 / $165.96	Professional		$25.12	$162.18	$165.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $26.92 / $42.66	Facility		$13.18	$26.92	$42.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.88 / $25.12	Professional		$8.51	$12.88	$25.12