Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.75 / $55.96 / $157.47	Facility		$15.75	$55.96	$157.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $15.26 / $18.89	Professional		$10.54	$15.26	$18.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $486.00 / $876.00	Facility		$203.00	$486.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.59 / $421.71 / $605.07	Professional		$41.59	$421.71	$605.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.53 / $17.53 / $17.53	Facility		$17.53	$17.53	$17.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $15.47 / $25.76	Professional		$12.32	$15.47	$25.76
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 $32.67 / $81.18 / $81.18	Facility		$32.67	$81.18	$81.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $100.43 / $100.43 / $131.63	Professional		$100.43	$100.43	$131.63
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 $14.71 / $20.32 / $29.98	Facility		$14.71	$20.32	$29.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $15.47 / $25.76	Professional		$12.32	$15.47	$25.76
United Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $17.98 / $17.98	Facility		$17.98	$17.98	$17.98
United Facility/Professional Professional Modifier Low / Median / High Price $13.07 / $16.94 / $40.63	Professional		$13.07	$16.94	$40.63