Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.62 / $295.27 / $736.43	Facility		$90.62	$295.27	$736.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.75 / $90.62 / $109.50	Professional		$56.75	$90.62	$109.50
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 $61.78 / $88.99 / $111.99	Professional		$61.78	$88.99	$111.99
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $91.00 / $186.32 / $381.58	Facility		$91.00	$186.32	$381.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.40 / $160.05 / $480.41	Facility		$131.40	$160.05	$480.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $393.93 / $393.93	Professional		$135.00	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $171.84 / $366.49 / $406.65	Facility		$171.84	$366.49	$406.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $564.65 / $564.65 / $692.85	Professional		$564.65	$564.65	$692.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.05 / $131.69 / $178.88	Facility		$92.05	$131.69	$178.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.25 / $103.25 / $109.74	Professional		$103.25	$103.25	$109.74
United Facility/Professional Professional Modifier Low / Median / High Price $71.28 / $89.76 / $204.25	Professional		$71.28	$89.76	$204.25