Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $41.69	Facility		$38.90	$38.90	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $46.77	Professional		$30.20	$38.90	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $75.86 / $117.49	Professional		$58.88	$75.86	$117.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $95.50 / $125.89	Facility		$56.23	$95.50	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $58.88 / $141.25	Facility		$45.71	$58.88	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $354.81 / $354.81	Professional		$302.00	$354.81	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $56.23 / $79.43	Facility		$41.69	$56.23	$79.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $46.77	Professional		$44.67	$44.67	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $61.66 / $93.33	Facility		$58.88	$61.66	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $48.98 / $107.15	Professional		$34.67	$48.98	$107.15