Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $85.11 / $95.50	Professional		$79.43	$85.11	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $61.66	Professional		$57.54	$57.54	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $81.28 / $87.10	Professional		$54.95	$81.28	$87.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $100.00	Professional		$79.43	$79.43	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $63.10 / $123.03	Professional		$57.54	$63.10	$123.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $87.10 / $114.82	Facility		$69.18	$87.10	$114.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98