Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.13 / $4,902.09 / $4,902.09	Facility		$30.13	$4,902.09	$4,902.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.13 / $55.74 / $4,902.09	Professional		$30.13	$55.74	$4,902.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $233.50 / $233.50 / $233.50	Professional		$233.50	$233.50	$233.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $84.00 / $218.25	Professional		$71.40	$84.00	$218.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $49.14 / $54.60 / $121.66	Professional		$49.14	$54.60	$121.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.97 / $68.97 / $68.97	Facility		$68.97	$68.97	$68.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $50.86 / $50.86	Professional		$50.86	$50.86	$50.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.00 / $181.00 / $638.07	Professional		$109.00	$181.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $118.87 / $327.45 / $339.39	Facility		$118.87	$327.45	$339.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $368.87 / $368.87 / $523.28	Professional		$368.87	$368.87	$523.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $60.00 / $85.00	Professional		$17.54	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.70 / $85.03 / $128.69	Facility		$46.70	$85.03	$128.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $50.86 / $288.43	Professional		$50.86	$50.86	$288.43
United Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $60.55 / $107.77	Professional		$60.55	$60.55	$107.77