Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.93 / $123.92 / $123.92	Facility		$113.93	$123.92	$123.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.84 / $113.93 / $130.71	Professional		$55.84	$113.93	$130.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $486.00 / $876.00	Facility		$203.00	$486.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.10 / $91.41 / $227.15	Professional		$52.10	$91.41	$227.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $446.04 / $895.61	Facility		$97.00	$446.04	$895.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $9.07 / $22.42	Professional		$6.35	$9.07	$22.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.38 / $386.04 / $1,180.43	Facility		$310.38	$386.04	$1,180.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.75 / $328.75 / $328.75	Professional		$328.75	$328.75	$328.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $9.98 / $18.82	Professional		$7.48	$9.98	$18.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $45.47 / $942.75 / $942.75	Facility		$45.47	$942.75	$942.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $340.11 / $340.11 / $343.13	Professional		$340.11	$340.11	$343.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $12.11 / $140.57	Facility		$9.44	$12.11	$140.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $9.46 / $13.79	Professional		$8.22	$9.46	$13.79
United Facility/Professional Facility Modifier Low / Median / High Price $278.04 / $509.12 / $509.12	Facility		$278.04	$509.12	$509.12
United Facility/Professional Professional Modifier Low / Median / High Price $92.84 / $123.79 / $251.85	Professional		$92.84	$123.79	$251.85