Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $239.88 / $1,819.70	Facility		$102.33	$239.88	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $398.11	Professional		$79.43	$107.15	$398.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $37.15 / $38.02	Facility		$33.11	$37.15	$38.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $218.78	Professional		$91.20	$120.23	$218.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $194.98 / $645.65	Facility		$58.88	$194.98	$645.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $251.19	Professional		$95.50	$134.90	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $218.78 / $6,165.95	Facility		$190.55	$218.78	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $117.49 / $257.04	Professional		$83.18	$117.49	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $46.77 / $302.00	Professional		$38.02	$46.77	$302.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $741.31 / $741.31	Facility		$562.34	$741.31	$741.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $794.33	Professional		$724.44	$724.44	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $58.88 / $109.65	Professional		$37.15	$58.88	$109.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $89.13 / $173.78	Facility		$42.66	$89.13	$173.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $120.23 / $269.15	Professional		$81.28	$120.23	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $147.91	Professional		$67.61	$89.13	$147.91