Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.55 / $75.19 / $172.03	Facility		$22.55	$75.19	$172.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $23.19 / $34.90	Professional		$18.38	$23.19	$34.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.56 / $486.00 / $876.00	Facility		$14.56	$486.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $21.41 / $39.89	Professional		$13.82	$21.41	$39.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $23.98 / $38.15 / $381.06	Facility		$23.98	$38.15	$381.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $29.42 / $65.19	Professional		$21.35	$29.42	$65.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.81 / $2.38 / $99.58	Facility		$0.81	$2.38	$99.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $19.30 / $69.66	Professional		$11.82	$19.30	$69.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $30.00 / $393.93	Professional		$14.00	$30.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $45.63 / $130.25 / $140.10	Facility		$45.63	$130.25	$140.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $206.17 / $206.17 / $206.17	Professional		$206.17	$206.17	$206.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.68 / $31.86 / $50.66	Facility		$16.68	$31.86	$50.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $19.30 / $73.22	Professional		$12.57	$19.30	$73.22
United Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $14.25 / $54.70	Professional		$9.15	$14.25	$54.70