Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $61.66 / $512.86	Facility		$56.23	$61.66	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $63.10 / $234.42	Professional		$48.98	$63.10	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $165.96	Professional		$81.28	$104.71	$165.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $100.00 / $1,862.09	Facility		$57.54	$100.00	$1,862.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $204.17	Professional		$79.43	$109.65	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $47.86 / $141.25	Facility		$43.65	$47.86	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $154.88	Professional		$75.86	$91.20	$154.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $660.69 / $660.69	Professional		$602.56	$660.69	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $100.00 / $134.90	Facility		$58.88	$100.00	$134.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $89.13	Professional		$83.18	$83.18	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,165.95 / $18,620.87	Facility		$1,995.26	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $70.79 / $158.49	Professional		$47.86	$70.79	$158.49