Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $18.23 / $18.23	Facility		$18.23	$18.23	$18.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $18.23 / $137.74	Professional		$13.33	$18.23	$137.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $75.34 / $137.90	Professional		$34.47	$75.34	$137.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $170.66 / $245.72 / $245.72	Facility		$170.66	$245.72	$245.72
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 Professional Modifier Low / Median / High Price $20.00 / $25.00 / $134.55	Professional		$20.00	$25.00	$134.55
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 $228.62 / $408.38 / $571.57	Facility		$228.62	$408.38	$571.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $806.50 / $806.50 / $921.98	Professional		$806.50	$806.50	$921.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $85.00	Professional		$50.00	$60.00	$85.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $26.32 / $33.45	Professional		$23.82	$26.32	$33.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.51 / $21.43 / $161.31	Facility		$14.51	$21.43	$161.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $26.00 / $81.00	Professional		$20.00	$26.00	$81.00
United Facility/Professional Facility Modifier Low / Median / High Price $144.33 / $144.33 / $144.33	Facility		$144.33	$144.33	$144.33
United Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $126.54 / $337.46	Professional		$23.82	$126.54	$337.46