Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.09 / $76.25 / $76.25	Facility		$70.09	$76.25	$76.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $70.09 / $84.20	Professional		$36.40	$70.09	$84.20
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 / $81.42 / $227.15	Professional		$52.10	$81.42	$227.15
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 Professional Modifier Low / Median / High Price $202.03 / $202.03 / $202.03	Professional		$202.03	$202.03	$202.03
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 $32.67 / $158.34 / $179.98	Facility		$32.67	$158.34	$179.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $246.18 / $246.18 / $246.18	Professional		$246.18	$246.18	$246.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.07 / $12.11 / $84.20	Facility		$9.07	$12.11	$84.20
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 Professional Modifier Low / Median / High Price $58.35 / $76.15 / $157.97	Professional		$58.35	$76.15	$157.97