Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $91.20	Facility		$79.43	$79.43	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $100.00	Professional		$67.61	$81.28	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $74.13 / $257.04	Professional		$35.48	$74.13	$257.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $107.15 / $204.17	Professional		$100.00	$107.15	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $83.18 / $186.21	Professional		$47.86	$83.18	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $81.28 / $134.90	Professional		$75.86	$81.28	$134.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $691.83	Professional		$524.81	$691.83	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $93.33 / $141.25	Facility		$74.13	$93.33	$141.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $79.43 / $165.96	Professional		$44.67	$79.43	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $213.80	Professional		$66.07	$89.13	$213.80