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 / $118.44	Professional		$61.55	$102.36	$118.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $16.04 / $79.47	Professional		$9.72	$16.04	$79.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $10.25 / $237.77	Professional		$10.25	$10.25	$237.77
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 $21.55 / $35.88 / $168.34	Facility		$21.55	$35.88	$168.34
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 $12.64 / $101.02 / $128.97	Facility		$12.64	$101.02	$128.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $139.52 / $168.32	Professional		$13.40	$139.52	$168.32
United Facility/Professional Facility Modifier Low / Median / High Price $11.49 / $11.49 / $11.49	Facility		$11.49	$11.49	$11.49
United Facility/Professional Professional Modifier Low / Median / High Price $80.08 / $120.12 / $360.41	Professional		$80.08	$120.12	$360.41