Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.13 / $69.13 / $145.11	Facility		$69.13	$69.13	$145.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.12 / $77.00 / $192.06	Professional		$69.12	$77.00	$192.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $73.43 / $100.00	Professional		$45.00	$73.43	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $538.90 / $561.00	Professional		$0.03	$538.90	$561.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $20.93 / $20.93	Professional		$20.93	$20.93	$20.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $128.00 / $638.07	Professional		$77.00	$128.00	$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 $69.13 / $96.10 / $124.93	Facility		$69.13	$96.10	$124.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $20.93 / $20.93	Professional		$20.93	$20.93	$20.93