Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $57.54	Facility		$53.70	$53.70	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $53.70 / $61.66	Professional		$38.02	$53.70	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $69.18 / $109.65	Professional		$46.77	$69.18	$109.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $288.40 / $380.19	Facility		$97.72	$288.40	$380.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $69.18 / $147.91	Professional		$45.71	$69.18	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $138.04 / $363.08	Facility		$117.49	$138.04	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $53.70 / $131.83	Professional		$50.12	$53.70	$131.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $54.95 / $85.11	Professional		$36.31	$54.95	$85.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $467.74 / $467.74	Professional		$338.84	$467.74	$467.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $58.88 / $89.13	Facility		$43.65	$58.88	$89.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $50.12 / $263.03	Professional		$38.90	$50.12	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $154.88 / $239.88	Facility		$151.36	$154.88	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $61.66 / $123.03	Professional		$45.71	$61.66	$123.03