Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.85 / $297.95 / $533.71	Facility		$82.85	$297.95	$533.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.63 / $63.04 / $164.36	Professional		$54.63	$63.04	$164.36
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 $50.13 / $69.02 / $559.71	Professional		$50.13	$69.02	$559.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $676.97 / $967.10 / $2,431.19	Professional		$676.97	$967.10	$2,431.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $1.04 / $1.56	Professional		$0.76	$1.04	$1.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $49.98 / $2,613.82 / $2,613.82	Facility		$49.98	$2,613.82	$2,613.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $372.64 / $372.64 / $372.64	Professional		$372.64	$372.64	$372.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $85.00	Professional		$60.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.70 / $0.94 / $1.84	Facility		$0.70	$0.94	$1.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $1.14 / $78.37	Professional		$0.89	$1.14	$78.37
United Facility/Professional Facility Modifier Low / Median / High Price $58.96 / $58.96 / $58.96	Facility		$58.96	$58.96	$58.96
United Facility/Professional Professional Modifier Low / Median / High Price $48.44 / $70.28 / $156.91	Professional		$48.44	$70.28	$156.91