Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Facility		$600.00	$600.00	$600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Professional		$600.00	$600.00	$600.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,400.00 / $2,400.00 / $2,400.00	Professional		$2,400.00	$2,400.00	$2,400.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.06 / $133.06 / $350.45	Facility		$110.06	$133.06	$350.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $860.00 / $1,147.50 / $1,663.87	Professional		$860.00	$1,147.50	$1,663.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $55.64 / $88.52 / $2,100.00	Professional		$55.64	$88.52	$2,100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,150.00 / $1,150.00 / $1,150.00	Facility		$1,150.00	$1,150.00	$1,150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.50 / $977.50 / $1,150.00	Professional		$839.50	$977.50	$1,150.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $17.00 / $638.07	Professional		$14.00	$17.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,508.51 / $3,508.51	Facility		$100.00	$3,508.51	$3,508.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $255.50 / $255.50 / $255.50	Professional		$255.50	$255.50	$255.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $50.00 / $85.00	Professional		$35.00	$50.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $1,150.00	Facility		$600.00	$600.00	$1,150.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $839.50 / $977.50 / $1,150.00	Professional		$839.50	$977.50	$1,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.02 / $350.58 / $466.20	Professional		$109.02	$350.58	$466.20