Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.60 / $61.60 / $61.60	Facility		$61.60	$61.60	$61.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.12 / $61.60 / $71.50	Professional		$52.12	$61.60	$71.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.22 / $154.78 / $259.20	Professional		$89.22	$154.78	$259.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $229.93 / $458.42	Facility		$97.00	$229.93	$458.42
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 Professional Modifier Low / Median / High Price $54.14 / $58.03 / $165.04	Professional		$54.14	$58.03	$165.04
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 $148.18 / $323.95 / $370.50	Facility		$148.18	$323.95	$370.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $432.44 / $432.44 / $598.20	Professional		$432.44	$432.44	$598.20
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 $61.60 / $80.08 / $115.12	Facility		$61.60	$80.08	$115.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $73.40 / $147.61	Professional		$54.18	$73.40	$147.61
United Facility/Professional Facility Modifier Low / Median / High Price $81.93 / $81.93 / $81.93	Facility		$81.93	$81.93	$81.93
United Facility/Professional Professional Modifier Low / Median / High Price $55.13 / $74.73 / $177.57	Professional		$55.13	$74.73	$177.57