Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $225.07 / $526.69	Facility		$69.06	$225.07	$526.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.66 / $71.02 / $106.14	Professional		$55.66	$71.02	$106.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.29 / $171.91 / $876.00	Facility		$44.29	$171.91	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $76.55 / $174.94	Professional		$42.05	$76.55	$174.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.50 / $100.00 / $1,072.02	Facility		$57.50	$100.00	$1,072.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.16 / $297.04	Professional		$100.00	$134.16	$297.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.46 / $7.25 / $303.97	Facility		$2.46	$7.25	$303.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $60.87 / $223.00	Professional		$38.72	$60.87	$223.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $277.00 / $653.00	Professional		$124.00	$277.00	$653.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $138.15 / $394.44 / $426.26	Facility		$138.15	$394.44	$426.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $629.27 / $629.27 / $629.27	Professional		$629.27	$629.27	$629.27
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 $59.58 / $104.47 / $176.90	Facility		$59.58	$104.47	$176.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $60.87 / $257.94	Professional		$38.72	$60.87	$257.94
United Facility/Professional Professional Modifier Low / Median / High Price $32.68 / $43.35 / $192.51	Professional		$32.68	$43.35	$192.51