Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $33.75 / $44.00	Professional		$25.45	$33.75	$44.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $29.23 / $102.45	Professional		$21.64	$29.23	$102.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $19.61 / $27.58	Professional		$13.73	$19.61	$27.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.50 / $12.50 / $12.50	Facility		$12.50	$12.50	$12.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.63 / $45.59 / $49.05	Professional		$38.63	$45.59	$49.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $638.07 / $801.00	Professional		$638.07	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $161.97 / $185.25	Facility		$85.00	$161.97	$185.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $207.28 / $207.28 / $299.10	Professional		$207.28	$207.28	$299.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.54 / $39.74 / $55.77	Facility		$24.54	$39.74	$55.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $45.59 / $48.37	Professional		$41.25	$45.59	$48.37
United Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $24.75 / $56.04	Professional		$18.52	$24.75	$56.04