Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.87 / $68.06 / $82.24	Professional		$51.87	$68.06	$82.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $65.73 / $69.23	Professional		$18.00	$65.73	$69.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $40.00 / $47.50	Professional		$28.00	$40.00	$47.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.39 / $89.39 / $94.64	Professional		$89.39	$89.39	$94.64
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 $138.72 / $302.75 / $346.56	Facility		$138.72	$302.75	$346.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $430.27 / $430.27 / $558.38	Professional		$430.27	$430.27	$558.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.61 / $73.93 / $104.33	Facility		$54.61	$73.93	$104.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.39 / $91.05 / $110.55	Professional		$89.39	$91.05	$110.55
United Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $64.95 / $168.01	Professional		$52.00	$64.95	$168.01