Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.63 / $35.63 / $2,264.00	Facility		$32.63	$35.63	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.31 / $38.18 / $90.71	Professional		$29.31	$38.18	$90.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $293.00 / $876.00	Facility		$50.50	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $155.16 / $283.77	Professional		$62.14	$155.16	$283.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $148.66 / $264.45	Facility		$96.60	$148.66	$264.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $82.33 / $105.24 / $234.98	Professional		$82.33	$105.24	$234.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.27 / $269.08 / $513.79	Facility		$78.27	$269.08	$513.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.76 / $93.92 / $194.84	Professional		$53.76	$93.92	$194.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $1,619.00	Professional		$393.93	$638.07	$1,619.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $412.25 / $856.54 / $856.54	Facility		$412.25	$856.54	$856.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $620.54 / $1,030.64 / $1,322.78	Professional		$620.54	$1,030.64	$1,322.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.04 / $253.56 / $380.27	Facility		$69.04	$253.56	$380.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.09 / $89.28 / $194.84	Professional		$54.09	$89.28	$194.84
United Facility/Professional Facility Modifier Low / Median / High Price $77.72 / $77.72 / $77.72	Facility		$77.72	$77.72	$77.72
United Facility/Professional Professional Modifier Low / Median / High Price $353.61 / $353.61 / $423.71	Professional		$353.61	$353.61	$423.71