Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.90 / $39.99 / $49.36	Professional		$27.90	$39.99	$49.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $39.40 / $193.78	Professional		$29.30	$39.40	$193.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $20.59 / $29.42 / $41.37	Professional		$20.59	$29.42	$41.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Facility		$15.00	$15.00	$15.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $56.31 / $91.39	Professional		$47.25	$56.31	$91.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.34 / $53.62 / $94.13	Professional		$40.34	$53.62	$94.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $98.38 / $201.33 / $230.33	Facility		$98.38	$201.33	$230.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $269.37 / $269.37 / $396.60	Professional		$269.37	$269.37	$396.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.02 / $52.04 / $70.95	Facility		$29.02	$52.04	$70.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.74 / $64.55 / $82.11	Professional		$44.74	$64.55	$82.11
United Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $44.48 / $124.62	Professional		$35.52	$44.48	$124.62