Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $112.20	Facility		$102.33	$102.33	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $117.49	Professional		$64.57	$100.00	$117.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $36.31 / $87.10	Professional		$20.42	$36.31	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $138.04 / $251.19	Professional		$83.18	$138.04	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $831.76	Professional		$630.96	$630.96	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $100.00 / $131.83	Facility		$30.20	$100.00	$131.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $138.04 / $251.19	Professional		$83.18	$138.04	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $245.47	Professional		$75.86	$109.65	$245.47