Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $380.19 / $630.96	Professional		$41.69	$380.19	$630.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $63.10 / $234.42	Professional		$34.67	$63.10	$234.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.02 / $4.47	Professional		$2.69	$3.02	$4.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $524.81	Professional		$93.33	$128.82	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $831.76	Professional		$89.13	$128.82	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $114.82 / $602.56	Facility		$42.66	$114.82	$602.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $398.11 / $524.81	Professional		$93.33	$398.11	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $50.12 / $151.36	Professional		$38.90	$50.12	$151.36