Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.85 / $49.89 / $49.89	Facility		$45.85	$49.89	$49.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $45.85 / $56.72	Professional		$29.70	$45.85	$56.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $486.00 / $876.00	Facility		$203.00	$486.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $39.46 / $72.75	Professional		$32.47	$39.46	$72.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $9.15 / $14.57 / $289.52	Facility		$9.15	$14.57	$289.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $8.00 / $20.00	Professional		$5.60	$8.00	$20.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.53 / $17.07 / $100.99	Professional		$15.53	$17.07	$100.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $638.07 / $801.00	Professional		$350.00	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $184.31 / $204.49	Facility		$85.00	$184.31	$204.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $280.19 / $280.19 / $329.25	Professional		$280.19	$280.19	$329.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $49.01 / $65.66	Facility		$37.04	$49.01	$65.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.09 / $62.97 / $100.99	Professional		$38.09	$62.97	$100.99
United Facility/Professional Facility Modifier Low / Median / High Price $50.15 / $50.15 / $50.15	Facility		$50.15	$50.15	$50.15
United Facility/Professional Professional Modifier Low / Median / High Price $38.67 / $52.99 / $116.73	Professional		$38.67	$52.99	$116.73