Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.13 / $118.13 / $118.13	Facility		$118.13	$118.13	$118.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.13 / $130.08 / $130.79	Professional		$118.13	$130.08	$130.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $112.00 / $116.40	Professional		$90.00	$112.00	$116.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $665.70 / $693.00	Professional		$0.03	$665.70	$693.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $13.17 / $13.17	Professional		$13.17	$13.17	$13.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $203.00 / $638.07	Professional		$133.00	$203.00	$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 $118.13 / $130.08 / $169.10	Facility		$118.13	$130.08	$169.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $13.17 / $13.17	Professional		$13.17	$13.17	$13.17