Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.99 / $112.99 / $112.99	Facility		$112.99	$112.99	$112.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.90 / $112.99 / $112.99	Professional		$71.90	$112.99	$112.99
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 $86.47 / $174.26 / $267.80	Professional		$86.47	$174.26	$267.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $79.00 / $91.00	Facility		$77.09	$79.00	$91.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $54.89 / $60.99 / $148.68	Professional		$54.89	$60.99	$148.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.34 / $112.34 / $112.34	Facility		$112.34	$112.34	$112.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $62.12 / $78.11	Professional		$28.62	$62.12	$78.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $67.09 / $106.73	Professional		$54.00	$67.09	$106.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $178.82 / $457.19 / $523.07	Facility		$178.82	$457.19	$523.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $603.54 / $603.54 / $843.83	Professional		$603.54	$603.54	$843.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.74 / $78.95 / $128.34	Facility		$61.74	$78.95	$128.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.73 / $103.85 / $148.28	Professional		$60.73	$103.85	$148.28
United Facility/Professional Professional Modifier Low / Median / High Price $59.99 / $80.48 / $184.65	Professional		$59.99	$80.48	$184.65