Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.27 / $132.62 / $638.59	Professional		$42.27	$132.62	$638.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $62.27 / $214.35	Professional		$39.43	$62.27	$214.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $3.00 / $3.51	Professional		$2.10	$3.00	$3.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.86 / $107.33 / $420.70	Professional		$90.86	$107.33	$420.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $350.00 / $801.00	Professional		$90.00	$350.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $178.19 / $810.29 / $1,252.31	Facility		$178.19	$810.29	$1,252.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,919.21 / $3,919.21 / $3,919.21	Professional		$3,919.21	$3,919.21	$3,919.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.27 / $111.16 / $569.12	Facility		$42.27	$111.16	$569.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $397.32 / $829.90	Professional		$79.20	$397.32	$829.90
United Facility/Professional Professional Modifier Low / Median / High Price $39.20 / $49.75 / $153.38	Professional		$39.20	$49.75	$153.38