Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.95 / $198.64 / $464.90	Facility		$60.95	$198.64	$464.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.18 / $62.69 / $93.54	Professional		$49.18	$62.69	$93.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.97 / $570.00 / $1,459.21	Facility		$38.97	$570.00	$1,459.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.01 / $60.19 / $142.08	Professional		$37.01	$60.19	$142.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $100.00 / $985.20	Facility		$59.30	$100.00	$985.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $95.40 / $122.98 / $272.27	Professional		$95.40	$122.98	$272.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.16 / $6.40 / $268.32	Facility		$2.16	$6.40	$268.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $53.69 / $187.50	Professional		$33.40	$53.69	$187.50
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 $122.09 / $348.56 / $377.10	Facility		$122.09	$348.56	$377.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $555.50 / $555.50 / $555.50	Professional		$555.50	$555.50	$555.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $31.87 / $85.00	Professional		$20.28	$31.87	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.93 / $90.86 / $167.46	Facility		$49.93	$90.86	$167.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.95 / $53.69 / $196.85	Professional		$33.95	$53.69	$196.85
United Facility/Professional Professional Modifier Low / Median / High Price $24.73 / $38.35 / $167.52	Professional		$24.73	$38.35	$167.52