Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $82.07 / $86.42	Facility		$79.43	$82.07	$86.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.46 / $79.73 / $95.42	Professional		$54.46	$79.73	$95.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.44 / $282.43 / $884.60	Facility		$233.44	$282.43	$884.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.40 / $270.16 / $430.06	Professional		$81.40	$270.16	$430.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $1,596.84	Facility		$66.09	$100.00	$1,596.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.70 / $94.70 / $94.70	Facility		$94.70	$94.70	$94.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.01 / $396.01 / $396.01	Professional		$396.01	$396.01	$396.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $638.07 / $801.00	Professional		$283.26	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $176.08 / $384.51 / $440.09	Facility		$176.08	$384.51	$440.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $515.54 / $515.54 / $709.35	Professional		$515.54	$515.54	$709.35
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 $78.34 / $108.89 / $146.85	Facility		$78.34	$108.89	$146.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.15 / $92.65 / $396.01	Professional		$87.15	$92.65	$396.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,059.00 / $5,465.00 / $17,075.00	Facility		$2,059.00	$5,465.00	$17,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.48 / $91.58 / $203.60	Professional		$67.48	$91.58	$203.60