Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $33.29 / $41.40	Professional		$23.96	$33.29	$41.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $25.60 / $39.27	Professional		$21.64	$25.60	$39.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $25.65 / $35.94	Professional		$17.96	$25.65	$35.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.53 / $54.53 / $57.74	Professional		$54.53	$54.53	$57.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $638.07 / $801.00	Professional		$638.07	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $95.64 / $211.61	Facility		$85.00	$95.64	$211.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $244.02 / $244.02 / $340.28	Professional		$244.02	$244.02	$340.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.96 / $41.40 / $68.94	Facility		$23.96	$41.40	$68.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.64 / $54.53 / $62.70	Professional		$51.64	$54.53	$62.70
United Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $39.10 / $95.89	Professional		$31.05	$39.10	$95.89