Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.85 / $176.20 / $403.10	Facility		$52.85	$176.20	$403.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.45 / $54.35 / $81.31	Professional		$42.45	$54.35	$81.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.82 / $486.00 / $876.00	Facility		$33.82	$486.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $49.90 / $141.40	Professional		$32.11	$49.90	$141.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $47.80 / $100.00 / $490.71	Facility		$47.80	$100.00	$490.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $47.89 / $66.02 / $136.68	Professional		$47.89	$66.02	$136.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.87 / $5.54 / $232.72	Facility		$1.87	$5.54	$232.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $46.47 / $162.30	Professional		$27.70	$46.47	$162.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $201.00 / $555.00	Professional		$90.00	$201.00	$555.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $105.39 / $300.87 / $429.25	Facility		$105.39	$300.87	$429.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $481.72 / $481.72 / $481.72	Professional		$481.72	$481.72	$481.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $93.98	Professional		$60.00	$85.00	$93.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.01 / $70.72 / $118.38	Facility		$42.01	$70.72	$118.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $46.47 / $181.02	Professional		$28.16	$46.47	$181.02
United Facility/Professional Professional Modifier Low / Median / High Price $21.44 / $33.20 / $145.01	Professional		$21.44	$33.20	$145.01