Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.81 / $44.35 / $44.35	Facility		$40.81	$44.35	$44.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $42.17 / $53.55	Professional		$37.88	$42.17	$53.55
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 $41.39 / $66.39 / $73.77	Professional		$41.39	$66.39	$73.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $51.93 / $79.06 / $120.11	Facility		$51.93	$79.06	$120.11
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 $43.60 / $48.24 / $141.82	Facility		$43.60	$48.24	$141.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $132.41 / $332.28 / $349.35	Facility		$132.41	$332.28	$349.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $406.53 / $614.40 / $614.40	Professional		$406.53	$614.40	$614.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.17 / $58.36 / $112.64	Facility		$42.17	$58.36	$112.64
United Facility/Professional Professional Modifier Low / Median / High Price $35.51 / $50.79 / $114.01	Professional		$35.51	$50.79	$114.01