Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.03 / $52.16 / $52.16	Facility		$48.03	$52.16	$52.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.09 / $55.57 / $99.84	Professional		$39.09	$55.57	$99.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.34 / $58.05 / $105.54	Professional		$40.34	$58.05	$105.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $191.32 / $375.85	Facility		$95.50	$191.32	$375.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.73 / $137.58 / $364.04	Facility		$117.73	$137.58	$364.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.80 / $141.80 / $255.73	Professional		$141.80	$141.80	$255.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $638.07 / $801.00	Professional		$638.07	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $102.62 / $256.64 / $259.01	Facility		$102.62	$256.64	$259.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $564.65 / $564.65 / $564.65	Professional		$564.65	$564.65	$564.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.03 / $64.25 / $92.72	Facility		$48.03	$64.25	$92.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.80 / $136.81 / $141.80	Professional		$50.80	$136.81	$141.80
United Facility/Professional Facility Modifier Low / Median / High Price $70.44 / $70.44 / $70.44	Facility		$70.44	$70.44	$70.44
United Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $55.58 / $149.52	Professional		$39.43	$55.58	$149.52