Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $39.81 / $46.77	Professional		$26.92	$39.81	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $46.77 / $218.78	Professional		$26.30	$46.77	$218.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $32.36 / $48.98	Professional		$26.30	$32.36	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $74.13	Facility		$15.14	$15.14	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $60.26 / $208.93	Professional		$46.77	$60.26	$208.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $51.29 / $93.33	Professional		$40.74	$51.29	$93.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $398.11	Professional		$269.15	$398.11	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $48.98 / $70.79	Facility		$28.18	$48.98	$70.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $81.28 / $208.93	Professional		$56.23	$81.28	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $44.67 / $89.13	Professional		$35.48	$44.67	$89.13