Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.38 / $143.09 / $339.47	Facility		$38.38	$143.09	$339.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $38.38 / $48.31	Professional		$27.52	$38.38	$48.31
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 $46.70 / $69.88 / $97.04	Professional		$46.70	$69.88	$97.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.48 / $45.48 / $45.48	Facility		$45.48	$45.48	$45.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.98 / $135.41 / $190.20	Professional		$69.98	$135.41	$190.20
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 $85.16 / $211.61 / $211.61	Facility		$85.16	$211.61	$211.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $280.19 / $280.19 / $340.28	Professional		$280.19	$280.19	$340.28
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 $36.97 / $52.97 / $79.09	Facility		$36.97	$52.97	$79.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.88 / $66.14 / $135.41	Professional		$41.88	$66.14	$135.41
United Facility/Professional Facility Modifier Low / Median / High Price $46.71 / $46.71 / $46.71	Facility		$46.71	$46.71	$46.71
United Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $39.82 / $88.95	Professional		$28.46	$39.82	$88.95