Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.29 / $1,264.88 / $3,001.02	Facility		$339.29	$1,264.88	$3,001.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.47 / $307.20 / $366.10	Professional		$88.47	$307.20	$366.10
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 $114.78 / $195.40 / $335.69	Professional		$114.78	$195.40	$335.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.20 / $115.20 / $115.20	Facility		$115.20	$115.20	$115.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $61.61 / $110.06	Professional		$50.40	$61.61	$110.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $253.68 / $548.29 / $548.29	Facility		$253.68	$548.29	$548.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,345.11 / $1,345.11 / $1,345.11	Professional		$1,345.11	$1,345.11	$1,345.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $85.00	Professional		$60.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.15 / $103.91 / $382.14	Facility		$82.15	$103.91	$382.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.98 / $68.52 / $115.63	Professional		$51.98	$68.52	$115.63
United Facility/Professional Facility Modifier Low / Median / High Price $118.30 / $118.30 / $118.30	Facility		$118.30	$118.30	$118.30
United Facility/Professional Professional Modifier Low / Median / High Price $269.36 / $386.66 / $834.54	Professional		$269.36	$386.66	$834.54