Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $23.99 / $25.12	Facility		$22.91	$23.99	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.91 / $26.92	Professional		$15.85	$22.91	$26.92
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 $32.36 / $269.15 / $407.38	Professional		$32.36	$269.15	$407.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $100.00 / $1,949.84	Facility		$58.88	$100.00	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
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 $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $213.80	Professional		$154.88	$213.80	$213.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $31.62 / $46.77	Facility		$21.88	$31.62	$46.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $28.18 / $117.49	Professional		$26.92	$28.18	$117.49
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 $19.95 / $27.54 / $52.48	Professional		$19.95	$27.54	$52.48