Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.30 / $232.30 / $232.30	Facility		$232.30	$232.30	$232.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.30 / $262.73 / $379.76	Professional		$232.30	$262.73	$379.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $15.60 / $15.60	Professional		$15.60	$15.60	$15.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.14 / $44.90 / $118.25	Facility		$37.14	$44.90	$118.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.14 / $309.80 / $928.96	Professional		$258.14	$309.80	$928.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $62.30 / $91.90 / $113.07	Facility		$62.30	$91.90	$113.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.60 / $41.60 / $417.07	Facility		$41.60	$41.60	$417.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.57 / $61.57 / $102.05	Professional		$61.57	$61.57	$102.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.50 / $638.07 / $801.00	Professional		$202.50	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,280.00 / $7,650.00	Facility		$100.00	$5,280.00	$7,650.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $66.89 / $137.12	Professional		$60.00	$66.89	$137.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.72 / $48.79 / $331.43	Facility		$38.72	$48.79	$331.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.32 / $61.57 / $102.05	Professional		$43.32	$61.57	$102.05
United Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $28.06 / $66.90	Professional		$23.17	$28.06	$66.90