Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.60 / $522.40 / $1,049.67	Professional		$387.60	$522.40	$1,049.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $887.79 / $887.79 / $887.79	Professional		$887.79	$887.79	$887.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.51 / $101.40 / $101.40	Facility		$91.51	$101.40	$101.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $569.94 / $1,014.01 / $1,600.65	Professional		$569.94	$1,014.01	$1,600.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $146.28 / $146.28 / $146.28	Facility		$146.28	$146.28	$146.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $795.00 / $795.00 / $810.90	Facility		$795.00	$795.00	$810.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $675.75 / $795.00 / $1,571.25	Professional		$675.75	$795.00	$1,571.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $1,035.41 / $1,035.41	Professional		$638.07	$1,035.41	$1,035.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,212.55 / $7,110.09 / $7,369.29	Facility		$2,212.55	$7,110.09	$7,369.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.66 / $723.47 / $1,704.24	Facility		$98.66	$723.47	$1,704.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $675.75 / $795.00 / $1,025.00	Professional		$675.75	$795.00	$1,025.00
United Facility/Professional Professional Modifier Low / Median / High Price $484.44 / $668.58 / $900.58	Professional		$484.44	$668.58	$900.58