Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $36.31 / $12,022.64	Facility		$5.01	$36.31	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.94 / $30.90	Professional		$4.79	$7.94	$30.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $12.88 / $43.65	Professional		$7.08	$12.88	$43.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $15.49 / $38.90	Facility		$12.02	$15.49	$38.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.13 / $23.99	Professional		$11.75	$14.13	$23.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $34.67 / $58.88	Professional		$25.12	$34.67	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $7.41	Professional		$7.41	$7.41	$7.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $34.67 / $144.54	Professional		$20.89	$34.67	$144.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $100.00 / $100.00	Professional		$15.14	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $16.22 / $25.12	Facility		$7.76	$16.22	$25.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $7.41	Professional		$7.41	$7.41	$7.41
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.59 / $14.45	Professional		$5.01	$7.59	$14.45