Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.08 / $158.51 / $283.92	Facility		$44.08	$158.51	$283.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.06 / $33.54 / $87.47	Professional		$29.06	$33.54	$87.47
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 $31.04 / $70.18 / $559.71	Professional		$31.04	$70.18	$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 $385.74 / $475.29 / $794.17	Professional		$385.74	$475.29	$794.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,286.41 / $6,017.35 / $6,017.35	Facility		$2,286.41	$6,017.35	$6,017.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,749.92 / $5,749.92 / $9,483.75	Professional		$5,749.92	$5,749.92	$9,483.75
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 $427.50 / $555.75 / $872.38	Facility		$427.50	$555.75	$872.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.22 / $427.50 / $691.72	Professional		$41.22	$427.50	$691.72
United Facility/Professional Facility Modifier Low / Median / High Price $458.64 / $1,566.95 / $2,409.05	Facility		$458.64	$1,566.95	$2,409.05
United Facility/Professional Professional Modifier Low / Median / High Price $26.68 / $39.15 / $98.49	Professional		$26.68	$39.15	$98.49