Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $89.13 / $177.83	Facility		$79.43	$89.13	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $147.91	Professional		$75.86	$89.13	$147.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $302.00 / $501.19	Professional		$177.83	$302.00	$501.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $549.54 / $549.54	Facility		$263.03	$549.54	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $109.65 / $229.09	Facility		$85.11	$109.65	$229.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $91.20 / $194.98	Professional		$81.28	$91.20	$194.98