Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.00 / $44.41 / $44.41	Facility		$41.00	$44.41	$44.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $45.02 / $54.17	Professional		$33.54	$45.02	$54.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.65 / $58.66 / $92.19	Professional		$47.65	$58.66	$92.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $26.28 / $39.08 / $69.95	Facility		$26.28	$39.08	$69.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $44.43 / $63.47 / $121.15	Professional		$44.43	$63.47	$121.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.96 / $38.90 / $111.98	Facility		$28.96	$38.90	$111.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.42 / $64.00 / $232.87	Professional		$41.42	$64.00	$232.87
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 $121.43 / $136.43 / $273.74	Facility		$121.43	$136.43	$273.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $380.08 / $391.12 / $442.05	Professional		$380.08	$391.12	$442.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.00 / $65.06 / $83.66	Facility		$41.00	$65.06	$83.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.99 / $54.22 / $70.62	Professional		$39.99	$54.22	$70.62
United Facility/Professional Professional Modifier Low / Median / High Price $33.63 / $47.19 / $103.44	Professional		$33.63	$47.19	$103.44