Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.95 / $55.22 / $55.22	Facility		$50.95	$55.22	$55.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.31 / $52.87 / $68.44	Professional		$46.31	$52.87	$68.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.07 / $75.11 / $119.39	Professional		$63.07	$75.11	$119.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.48 / $83.60 / $120.11	Facility		$53.48	$83.60	$120.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $48.62 / $69.45 / $132.83	Professional		$48.62	$69.45	$132.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.60 / $48.24 / $141.82	Facility		$43.60	$48.24	$141.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $87.75 / $109.69	Professional		$87.75	$87.75	$109.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $170.83 / $336.07 / $384.94	Facility		$170.83	$336.07	$384.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $534.55 / $550.08 / $620.54	Professional		$534.55	$550.08	$620.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.85 / $97.25 / $133.38	Facility		$63.85	$97.25	$133.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $76.20 / $81.04	Professional		$76.20	$76.20	$81.04
United Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $61.53 / $143.44	Professional		$43.50	$61.53	$143.44