Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.24 / $61.05 / $61.05	Facility		$56.24	$61.05	$61.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.24 / $61.05 / $263.20	Professional		$56.24	$61.05	$263.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.34 / $97.09 / $152.11	Professional		$83.34	$97.09	$152.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.33 / $97.00 / $1,643.40	Facility		$60.33	$97.00	$1,643.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $62.34 / $89.06 / $170.31	Professional		$62.34	$89.06	$170.31
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 $62.77 / $65.51 / $82.03	Professional		$62.77	$65.51	$82.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.33 / $92.62 / $151.40	Professional		$83.33	$92.62	$151.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $575.76 / $693.04 / $755.84	Facility		$575.76	$693.04	$755.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $547.67 / $597.44 / $659.93	Professional		$547.67	$597.44	$659.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.86 / $105.34 / $133.54	Facility		$70.86	$105.34	$133.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.80 / $82.84 / $106.87	Professional		$62.80	$82.84	$106.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $67.73 / $146.61	Professional		$45.92	$67.73	$146.61