Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.55 / $77.81 / $172.73	Facility		$22.55	$77.81	$172.73
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 / $20.19 / $58.50	Professional		$13.82	$20.19	$58.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $41.66 / $79.30 / $132.94	Facility		$41.66	$79.30	$132.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $16.63 / $36.85	Professional		$12.07	$16.63	$36.85
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 $11.38 / $19.11 / $69.66	Professional		$11.38	$19.11	$69.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.00 / $350.00 / $801.00	Professional		$158.00	$350.00	$801.00
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 $8.86 / $13.93 / $85.00	Professional		$8.86	$13.93	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.69 / $30.12 / $45.24	Facility		$13.69	$30.12	$45.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $19.11 / $73.22	Professional		$11.38	$19.11	$73.22
United Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $14.25 / $62.55	Professional		$8.64	$14.25	$62.55