Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.68 / $80.83 / $191.76	Facility		$21.68	$80.83	$191.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.07 / $20.95 / $26.00	Professional		$13.07	$20.95	$26.00
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 $17.92 / $24.56 / $42.99	Professional		$17.92	$24.56	$42.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.94 / $21.94 / $21.94	Facility		$21.94	$21.94	$21.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $27.66 / $58.59	Professional		$22.35	$27.66	$58.59
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 $65.42 / $172.05 / $172.05	Facility		$65.42	$172.05	$172.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $124.17 / $229.77 / $232.70	Professional		$124.17	$229.77	$232.70
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 $19.67 / $86.40 / $123.55	Facility		$19.67	$86.40	$123.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.09 / $81.23 / $86.40	Professional		$28.09	$81.23	$86.40
United Facility/Professional Facility Modifier Low / Median / High Price $22.20 / $22.20 / $22.20	Facility		$22.20	$22.20	$22.20
United Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $23.87 / $55.55	Professional		$17.89	$23.87	$55.55