Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,322.00 / $16,713.00	Facility		$1,208.95	$5,322.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.61 / $80.05 / $99.03	Professional		$53.61	$80.05	$99.03
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 $29.63 / $41.69 / $69.98	Professional		$29.63	$41.69	$69.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.02 / $70.26 / $185.86	Professional		$61.02	$70.26	$185.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $638.07 / $801.00	Professional		$638.07	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $166.97 / $364.85 / $417.19	Facility		$166.97	$364.85	$417.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $515.54 / $515.54 / $673.58	Professional		$515.54	$515.54	$673.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.42 / $98.49 / $132.24	Facility		$74.42	$98.49	$132.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $82.65 / $185.86	Professional		$63.18	$82.65	$185.86
United Facility/Professional Facility Modifier Low / Median / High Price $92.26 / $92.26 / $92.26	Facility		$92.26	$92.26	$92.26
United Facility/Professional Professional Modifier Low / Median / High Price $66.65 / $86.98 / $241.68	Professional		$66.65	$86.98	$241.68