Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.90 / $43.65	Professional		$21.88	$30.90	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.90 / $117.49	Professional		$21.88	$30.90	$117.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.88 / $33.11	Professional		$17.78	$21.88	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $54.95	Facility		$12.59	$12.59	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $47.86 / $165.96	Professional		$38.90	$47.86	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $630.96 / $831.76	Professional		$128.82	$630.96	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $302.00	Professional		$208.93	$302.00	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $35.48 / $54.95	Facility		$22.91	$35.48	$54.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $47.86 / $165.96	Professional		$45.71	$47.86	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $24.55 / $47.86	Professional		$18.62	$24.55	$47.86