Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $34.67 / $39.81	Professional		$22.91	$34.67	$39.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $41.69	Professional		$20.89	$25.12	$41.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $42.66	Professional		$22.91	$28.84	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $199.53	Professional		$54.95	$57.54	$199.53
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 $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $338.84 / $338.84	Professional		$245.47	$338.84	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $40.74 / $63.10	Facility		$23.99	$40.74	$63.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $199.53	Professional		$54.95	$57.54	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.90 / $70.79	Professional		$30.90	$38.90	$70.79