Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $81.28 / $85.11	Facility		$79.43	$81.28	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $79.43 / $91.20	Professional		$53.70	$79.43	$91.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $309.03 / $776.25	Facility		$245.47	$309.03	$776.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $269.15 / $407.38	Professional		$85.11	$269.15	$407.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $1,949.84	Facility		$60.26	$100.00	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $398.11 / $831.76	Professional		$128.82	$398.11	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $707.95	Professional		$512.86	$707.95	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $107.15 / $158.49	Facility		$72.44	$107.15	$158.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $95.50 / $398.11	Professional		$91.20	$95.50	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,165.95 / $18,620.87	Facility		$1,995.26	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $173.78	Professional		$67.61	$91.20	$173.78