Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.32 / $228.51 / $228.51	Facility		$206.32	$228.51	$228.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.43 / $211.36 / $251.76	Professional		$161.43	$211.36	$251.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $486.00 / $876.00	Facility		$203.00	$486.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.75 / $145.24 / $209.43	Professional		$119.75	$145.24	$209.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $1,904.45	Facility		$66.09	$100.00	$1,904.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $200.00 / $487.54	Professional		$140.00	$200.00	$487.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.13 / $144.37 / $180.58	Professional		$132.13	$144.37	$180.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $371.31 / $4,042.45 / $4,042.45	Facility		$371.31	$4,042.45	$4,042.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,308.32 / $1,308.32 / $1,460.10	Professional		$1,308.32	$1,308.32	$1,460.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $175.25 / $234.60 / $330.97	Facility		$175.25	$234.60	$330.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.86 / $144.37 / $181.32	Professional		$132.86	$144.37	$181.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,372.92 / $1,372.92 / $1,372.92	Facility		$1,372.92	$1,372.92	$1,372.92
United Facility/Professional Professional Modifier Low / Median / High Price $172.79 / $236.68 / $558.73	Professional		$172.79	$236.68	$558.73