Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $16.98 / $16.98	Facility		$15.85	$16.98	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $33.11 / $61.66	Professional		$18.20	$33.11	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $46.77 / $117.49	Facility		$37.15	$46.77	$117.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $46.77 / $67.61	Professional		$30.20	$46.77	$67.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $87.10 / $128.82	Facility		$63.10	$87.10	$128.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $186.21	Professional		$70.79	$107.15	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $46.77 / $144.54	Professional		$39.81	$46.77	$144.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $436.52	Professional		$281.84	$436.52	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $61.66 / $97.72	Facility		$30.90	$61.66	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $58.88	Professional		$30.90	$30.90	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $29.51 / $57.54	Professional		$22.91	$29.51	$57.54