Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.62 / $503.29 / $646.11	Professional		$295.62	$503.29	$646.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $502.94 / $502.94 / $502.94	Professional		$502.94	$502.94	$502.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.13 / $50.00 / $50.00	Facility		$45.13	$50.00	$50.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Professional		$600.00	$600.00	$600.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $390.00 / $390.00	Facility		$390.00	$390.00	$390.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.50 / $331.50 / $390.00	Professional		$331.50	$331.50	$390.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $1,314.00 / $2,174.00	Professional		$638.07	$1,314.00	$2,174.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $365.95 / $365.95 / $394.10	Facility		$365.95	$365.95	$394.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.62 / $503.29 / $819.19	Facility		$295.62	$503.29	$819.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.50 / $390.00 / $390.00	Professional		$331.50	$390.00	$390.00