Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $25.70 / $36.31	Professional		$5.01	$25.70	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $97.72 / $190.55	Professional		$25.70	$97.72	$190.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $51.29	Professional		$19.05	$23.99	$51.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $831.76	Professional		$630.96	$630.96	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $85.11 / $85.11	Facility		$70.79	$85.11	$85.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Optum Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $26.30 / $33.11	Professional		$23.99	$26.30	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $22.91 / $41.69	Facility		$5.13	$22.91	$41.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $39.81	Professional		$19.95	$23.99	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $6.76 / $26.30	Professional		$4.47	$6.76	$26.30