Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.99 / $47.03 / $47.03	Facility		$44.99	$47.03	$47.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.61 / $47.03 / $117.22	Professional		$40.61	$47.03	$117.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.53 / $123.90 / $769.92	Professional		$66.53	$123.90	$769.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $441.72 / $897.66	Facility		$97.00	$441.72	$897.66
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 $319.80 / $381.34 / $1,123.31	Facility		$319.80	$381.34	$1,123.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $393.93 / $393.93	Professional		$135.00	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $133.00 / $332.55 / $349.35	Facility		$133.00	$332.55	$349.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,033.75 / $1,033.75 / $1,033.75	Professional		$1,033.75	$1,033.75	$1,033.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.93 / $84.01 / $127.02	Facility		$60.93	$84.01	$127.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.87 / $65.87 / $70.01	Professional		$65.87	$65.87	$70.01
United Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $170.52 / $395.74	Professional		$40.70	$170.52	$395.74