Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $52.13 / $566.04	Professional		$36.36	$52.13	$566.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.53 / $101.89 / $223.23	Professional		$53.53	$101.89	$223.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $281.00 / $4,962.28	Facility		$100.00	$281.00	$4,962.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $15.72 / $29.09	Professional		$11.00	$15.72	$29.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.95 / $901.95 / $901.95	Professional		$901.95	$901.95	$901.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $638.07 / $801.00	Professional		$135.00	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $486.65 / $837.04 / $2,262.09	Facility		$486.65	$837.04	$2,262.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,225.65 / $3,375.08 / $3,407.99	Professional		$2,225.65	$3,375.08	$3,407.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.45 / $304.36 / $415.15	Facility		$81.45	$304.36	$415.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.45 / $120.45 / $901.95	Professional		$120.45	$120.45	$901.95
United Facility/Professional Professional Modifier Low / Median / High Price $56.64 / $72.27 / $361.09	Professional		$56.64	$72.27	$361.09