Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.12 / $78.12 / $78.12	Facility		$78.12	$78.12	$78.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.12 / $112.32 / $112.32	Professional		$78.12	$112.32	$112.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $48.90 / $94.50	Professional		$33.02	$48.90	$94.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $581.10 / $618.15 / $643.50	Professional		$581.10	$618.15	$643.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $200.00 / $801.00	Professional		$123.00	$200.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $100.00 / $100.00	Facility		$76.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $85.00	Professional		$50.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.12 / $97.65 / $129.16	Facility		$78.12	$97.65	$129.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $1,800,000.00	Professional		$2.00	$2.00	$1,800,000.00