Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.97 / $7.97 / $12.32	Facility		$7.97	$7.97	$12.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $11.73 / $16.51	Professional		$7.97	$11.73	$16.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $16.27 / $16.27	Professional		$16.27	$16.27	$16.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.70 / $3.70 / $16.75	Facility		$3.70	$3.70	$16.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $4.25 / $33.00	Professional		$3.61	$4.25	$33.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $33.93 / $51.42 / $88.01	Professional		$33.93	$51.42	$88.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.57 / $21.57 / $21.57	Facility		$21.57	$21.57	$21.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.02 / $14.02	Professional		$13.49	$14.02	$14.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $27.00 / $283.26	Professional		$25.00	$27.00	$283.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $32.77 / $90.29 / $93.58	Facility		$32.77	$90.29	$93.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $134.28 / $139.65 / $144.30	Professional		$134.28	$139.65	$144.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.53 / $23.42 / $36.86	Facility		$9.53	$23.42	$36.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.02 / $14.02	Professional		$13.49	$14.02	$14.02
United Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $11.05 / $22.97	Professional		$7.36	$11.05	$22.97