Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.04 / $288.19 / $618.09	Facility		$81.04	$288.19	$618.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $83.34 / $124.85	Professional		$65.48	$83.34	$124.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.02 / $570.00 / $1,459.21	Facility		$52.02	$570.00	$1,459.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.39 / $76.55 / $158.87	Professional		$49.39	$76.55	$158.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $100.00 / $910.75	Facility		$59.30	$100.00	$910.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $86.73 / $111.80 / $247.55	Professional		$86.73	$111.80	$247.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.89 / $8.53 / $357.42	Facility		$2.89	$8.53	$357.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $71.51 / $249.75	Professional		$42.47	$71.51	$249.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $271.00 / $640.00	Professional		$122.00	$271.00	$640.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $162.58 / $464.12 / $502.28	Facility		$162.58	$464.12	$502.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $739.96 / $739.96 / $739.96	Professional		$739.96	$739.96	$739.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $10.62 / $85.00	Professional		$6.76	$10.62	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.20 / $111.81 / $185.81	Facility		$66.20	$111.81	$185.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.17 / $71.51 / $262.20	Professional		$45.17	$71.51	$262.20
United Facility/Professional Professional Modifier Low / Median / High Price $32.88 / $51.08 / $249.82	Professional		$32.88	$51.08	$249.82