Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $32.64 / $192.00	Professional		$27.00	$32.64	$192.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.31 / $93.88 / $221.38	Professional		$30.31	$93.88	$221.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $420.00 / $11,662.50	Facility		$100.00	$420.00	$11,662.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $15.72 / $20.01	Professional		$11.00	$15.72	$20.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $39.78 / $42.86	Professional		$33.75	$39.78	$42.86
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 $85.00 / $133.19 / $152.57	Facility		$85.00	$133.19	$152.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $188.42 / $188.42 / $245.63	Professional		$188.42	$188.42	$245.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.09 / $37.46 / $192.00	Facility		$24.09	$37.46	$192.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $39.86 / $48.40	Professional		$39.78	$39.86	$48.40
United Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $29.37 / $79.68	Professional		$23.63	$29.37	$79.68