Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.25 / $453.68 / $2,264.00	Facility		$332.25	$453.68	$2,264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $144.00 / $144.00	Professional		$144.00	$144.00	$144.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $293.00 / $876.00	Facility		$50.50	$293.00	$876.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $70.56 / $99.00 / $209.12	Facility		$70.56	$99.00	$209.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.89 / $245.92 / $483.01	Facility		$124.89	$245.92	$483.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $206.00 / $236.00	Professional		$66.00	$206.00	$236.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.93 / $350.00 / $801.00	Professional		$39.93	$350.00	$801.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,613.12 / $1,613.12 / $1,613.12	Professional		$1,613.12	$1,613.12	$1,613.12
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 $42.53 / $128.94 / $424.11	Facility		$42.53	$128.94	$424.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $206.00 / $206.00 / $236.00	Professional		$206.00	$206.00	$236.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00