Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $48.98	Facility		$44.67	$44.67	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $43.65 / $52.48	Professional		$28.84	$43.65	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $41.69 / $69.18	Professional		$34.67	$41.69	$69.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $77.62 / $363.08	Facility		$9.55	$77.62	$363.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.55 / $19.05	Professional		$7.59	$9.55	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $16.98 / $100.00	Professional		$15.49	$16.98	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $630.96 / $831.76	Professional		$89.13	$630.96	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $331.13	Professional		$281.84	$331.13	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $48.98 / $69.18	Facility		$33.88	$48.98	$69.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $52.48 / $181.97	Professional		$39.81	$52.48	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $218.78 / $338.84	Facility		$208.93	$218.78	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $51.29 / $102.33	Professional		$35.48	$51.29	$102.33