Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.26 / $42.75 / $42.75	Facility		$39.26	$42.75	$42.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.81 / $40.59 / $48.81	Professional		$36.81	$40.59	$48.81
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 $58.55 / $70.26 / $110.07	Professional		$58.55	$70.26	$110.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $55.96 / $85.55 / $126.01	Facility		$55.96	$85.55	$126.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.79 / $48.24 / $141.82	Facility		$45.79	$48.24	$141.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $96.76 / $190.76 / $217.93	Facility		$96.76	$190.76	$217.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $303.04 / $311.68 / $352.58	Professional		$303.04	$311.68	$352.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.06 / $58.04 / $75.37	Facility		$49.06	$58.04	$75.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.20 / $43.20 / $45.88	Professional		$43.20	$43.20	$45.88
United Facility/Professional Professional Modifier Low / Median / High Price $34.51 / $48.79 / $115.89	Professional		$34.51	$48.79	$115.89