Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.36 / $111.39 / $111.39	Facility		$102.36	$111.39	$111.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.55 / $102.36 / $122.74	Professional		$61.55	$102.36	$122.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $32.74 / $82.50	Professional		$17.35	$32.74	$82.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $80.75 / $103.06 / $148.68	Professional		$80.75	$103.06	$148.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.40 / $90.00 / $253.06	Professional		$83.40	$90.00	$253.06
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 $49.80 / $82.90 / $343.58	Facility		$49.80	$82.90	$343.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $659.14 / $659.14 / $659.14	Professional		$659.14	$659.14	$659.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $85.00	Professional		$50.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $101.86 / $130.97	Facility		$66.09	$101.86	$130.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.40 / $139.52 / $168.32	Professional		$83.40	$139.52	$168.32
United Facility/Professional Facility Modifier Low / Median / High Price $99.15 / $99.15 / $99.15	Facility		$99.15	$99.15	$99.15
United Facility/Professional Professional Modifier Low / Median / High Price $83.16 / $118.11 / $368.75	Professional		$83.16	$118.11	$368.75