Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.78 / $107.28 / $254.56	Facility		$28.78	$107.28	$254.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $29.18 / $44.15	Professional		$21.20	$29.18	$44.15
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 $21.25 / $32.02 / $69.88	Professional		$21.25	$32.02	$69.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $393.06 / $886.21	Facility		$97.00	$393.06	$886.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.12 / $620.40 / $1,271.67	Facility		$270.12	$620.40	$1,271.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.46 / $135.41 / $146.58	Professional		$52.46	$135.41	$146.58
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 $65.63 / $163.12 / $163.12	Facility		$65.63	$163.12	$163.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $237.52 / $262.13	Professional		$237.52	$237.52	$262.13
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 $29.38 / $151.26 / $394.33	Facility		$29.38	$151.26	$394.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.46 / $127.05 / $135.77	Professional		$52.46	$127.05	$135.77
United Facility/Professional Facility Modifier Low / Median / High Price $35.60 / $35.60 / $35.60	Facility		$35.60	$35.60	$35.60
United Facility/Professional Professional Modifier Low / Median / High Price $21.34 / $29.23 / $84.50	Professional		$21.34	$29.23	$84.50