Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.11 / $99.11 / $99.11	Facility		$99.11	$99.11	$99.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.11 / $121.56 / $128.84	Professional		$99.11	$121.56	$128.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.40 / $106.63 / $164.00	Professional		$104.40	$106.63	$164.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $713.25 / $742.50	Professional		$0.03	$713.25	$742.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $9.85 / $9.85	Professional		$9.85	$9.85	$9.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $152.00 / $638.07	Professional		$100.00	$152.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $100.00	Facility		$65.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.11 / $122.42 / $159.15	Facility		$99.11	$122.42	$159.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $9.85 / $9.85	Professional		$9.85	$9.85	$9.85