Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $346.50	Professional		$125.00	$125.00	$346.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $56.00 / $56.00	Professional		$56.00	$56.00	$56.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.13 / $50.00 / $50.00	Facility		$45.13	$50.00	$50.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.42 / $2,500.00 / $2,500.00	Professional		$100.42	$2,500.00	$2,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.97 / $136.97 / $228.57	Facility		$136.97	$136.97	$228.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.89 / $99.89 / $136.97	Professional		$99.89	$99.89	$136.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $638.07 / $801.00	Professional		$638.07	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $355.37 / $382.70	Facility		$100.00	$355.37	$382.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $125.00 / $133.00	Facility		$125.00	$125.00	$133.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.89 / $99.89 / $228.57	Professional		$99.89	$99.89	$228.57