Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $89.13 / $104.71	Professional		$42.66	$89.13	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $416.87	Professional		$208.93	$275.42	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $56.23 / $269.15	Professional		$22.91	$56.23	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $398.11 / $831.76	Professional		$128.82	$398.11	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $478.63 / $478.63	Professional		$446.68	$478.63	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $91.20 / $128.82	Facility		$53.70	$91.20	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $58.88 / $117.49	Professional		$52.48	$58.88	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $104.71 / $190.55	Professional		$53.70	$104.71	$190.55