Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.20 / $79.98 / $79.98	Facility		$74.20	$79.98	$79.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.76 / $76.36 / $115.85	Professional		$42.76	$76.36	$115.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.83 / $293.00 / $876.00	Facility		$55.83	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.78 / $283.06 / $440.61	Professional		$188.78	$283.06	$440.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $47.89 / $71.54 / $121.23	Facility		$47.89	$71.54	$121.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.72 / $62.34 / $150.82	Facility		$39.72	$62.34	$150.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $47.77 / $76.70	Professional		$36.22	$47.77	$76.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $93.11 / $245.10 / $253.80	Facility		$93.11	$245.10	$253.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $700.38 / $700.38 / $700.38	Professional		$700.38	$700.38	$700.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $85.00	Professional		$60.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.40 / $72.44 / $105.80	Facility		$52.40	$72.44	$105.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $47.77 / $80.61	Professional		$36.22	$47.77	$80.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $18,493.00	Facility		$2,009.00	$5,159.00	$18,493.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.50 / $78.45 / $186.66	Professional		$61.50	$78.45	$186.66