Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.61 / $25.58 / $25.58	Facility		$23.61	$25.58	$25.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $25.58 / $31.08	Professional		$18.78	$25.58	$31.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $34.67 / $52.15	Professional		$25.50	$34.67	$52.15
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 $18.73 / $26.75 / $53.71	Professional		$18.73	$26.75	$53.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.08 / $45.79 / $141.82	Facility		$29.08	$45.79	$141.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $23.71 / $112.26	Professional		$18.22	$23.71	$112.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $27.03 / $46.81	Professional		$22.01	$27.03	$46.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.22 / $62.04 / $124.40	Facility		$55.22	$62.04	$124.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $173.04 / $193.04 / $201.60	Professional		$173.04	$193.04	$201.60
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 $22.77 / $29.75 / $39.56	Facility		$22.77	$29.75	$39.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $27.77 / $40.50	Professional		$19.48	$27.77	$40.50
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 $19.32 / $26.70 / $58.96	Professional		$19.32	$26.70	$58.96