Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.80 / $54.14 / $54.14	Facility		$49.80	$54.14	$54.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.22 / $51.44 / $54.14	Professional		$46.22	$51.44	$54.14
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 $31.99 / $47.29 / $51.64	Professional		$31.99	$47.29	$51.64
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 $47.61 / $68.02 / $130.07	Professional		$47.61	$68.02	$130.07
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 $62.98 / $70.73 / $115.63	Professional		$62.98	$70.73	$115.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $88.69 / $230.18 / $242.33	Facility		$88.69	$230.18	$242.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $320.63 / $426.56 / $426.56	Professional		$320.63	$426.56	$426.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.71 / $80.47 / $108.62	Facility		$62.71	$80.47	$108.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.24 / $63.08 / $81.62	Professional		$56.24	$63.08	$81.62
United Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $61.87 / $156.71	Professional		$42.00	$61.87	$156.71