Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.59 / $49.47 / $49.47	Facility		$45.59	$49.47	$49.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.94 / $54.41 / $68.69	Professional		$41.94	$54.41	$68.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.10 / $85.65 / $129.59	Professional		$59.10	$85.65	$129.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.40 / $97.90 / $1,643.40	Facility		$60.40	$97.90	$1,643.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $84.85 / $161.94	Professional		$59.40	$84.85	$161.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.60 / $59.23 / $141.82	Facility		$43.60	$59.23	$141.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.15 / $97.40 / $321.16	Professional		$87.15	$97.40	$321.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.75 / $87.69 / $152.27	Professional		$71.75	$87.69	$152.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $178.42 / $202.96 / $357.06	Facility		$178.42	$202.96	$357.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $483.28 / $565.67 / $574.88	Professional		$483.28	$565.67	$574.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.24 / $93.59 / $114.65	Facility		$53.24	$93.59	$114.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.42 / $87.15 / $134.72	Professional		$78.42	$87.15	$134.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,064.00 / $5,372.00 / $16,172.00	Facility		$2,064.00	$5,372.00	$16,172.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $54.04 / $113.87	Professional		$38.40	$54.04	$113.87