Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $707.95 / $1,023.29	Professional		$389.05	$707.95	$1,023.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,023.29 / $2,818.38	Professional		$467.74	$1,023.29	$2,818.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $251.19	Facility		$147.91	$147.91	$251.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $812.83	Facility		$794.33	$794.33	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $1,584.89	Professional		$676.08	$794.33	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,047.13	Professional		$630.96	$831.76	$1,047.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $724.44 / $1,778.28	Facility		$104.71	$724.44	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $812.83	Professional		$676.08	$676.08	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $331.13 / $891.25	Facility		$36.31	$331.13	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $676.08 / $1,174.90	Professional		$407.38	$676.08	$1,174.90