Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $23.99 / $28.84	Professional		$15.14	$23.99	$28.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $144.54	Professional		$21.88	$28.84	$144.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.05 / $28.84	Professional		$15.49	$19.05	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $7.59 / $46.77	Facility		$7.59	$7.59	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $38.02 / $131.83	Professional		$35.48	$38.02	$131.83
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 $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $218.78	Professional		$162.18	$218.78	$218.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $27.54 / $42.66	Facility		$15.85	$27.54	$42.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $38.02 / $131.83	Professional		$35.48	$38.02	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $29.51 / $58.88	Professional		$23.44	$29.51	$58.88