Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.43 / $87.52 / $87.52	Facility		$80.43	$87.52	$87.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.45 / $82.42 / $99.50	Professional		$58.45	$82.42	$99.50
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 $83.62 / $95.49 / $138.80	Professional		$83.62	$95.49	$138.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $591.17 / $1,332.90	Facility		$97.00	$591.17	$1,332.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.76 / $483.14 / $1,383.47	Facility		$104.76	$483.14	$1,383.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.09 / $481.88 / $481.88	Professional		$438.09	$481.88	$481.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $198.28 / $486.73 / $486.73	Facility		$198.28	$486.73	$486.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $522.04 / $522.04 / $784.73	Professional		$522.04	$522.04	$784.73
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 $78.59 / $127.79 / $191.38	Facility		$78.59	$127.79	$191.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.18 / $107.52 / $481.88	Professional		$101.18	$107.52	$481.88
United Facility/Professional Facility Modifier Low / Median / High Price $107.58 / $107.58 / $107.58	Facility		$107.58	$107.58	$107.58
United Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $96.87 / $214.75	Professional		$69.34	$96.87	$214.75