Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.03 / $398.15 / $398.15	Facility		$52.03	$398.15	$398.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.97 / $182.86 / $398.15	Professional		$94.97	$182.86	$398.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.00 / $316.00 / $316.00	Professional		$316.00	$316.00	$316.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.37 / $49.82 / $131.72	Facility		$41.37	$49.82	$131.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $57.50 / $57.50	Professional		$40.00	$57.50	$57.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $113.42 / $166.45	Professional		$80.70	$113.42	$166.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $179.84 / $179.84	Professional		$6.56	$179.84	$179.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $107.00 / $393.93	Professional		$85.00	$107.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $100.00	Facility		$90.00	$90.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $135.28 / $135.28 / $135.28	Professional		$135.28	$135.28	$135.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $85.00	Professional		$70.00	$70.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.97 / $182.86 / $398.15	Facility		$94.97	$182.86	$398.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $179.84 / $179.84 / $179.84	Professional		$179.84	$179.84	$179.84