Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $14.94 / $72.31	Professional		$10.13	$14.94	$72.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.56 / $76.56 / $76.56	Facility		$76.56	$76.56	$76.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.36 / $73.03 / $455.19	Professional		$16.36	$73.03	$455.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.10 / $1,240.71 / $3,375.19	Facility		$95.10	$1,240.71	$3,375.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $80.51 / $115.02 / $200.87	Professional		$80.51	$115.02	$200.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.83 / $35.81 / $370.37	Professional		$12.83	$35.81	$370.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $57.00 / $801.00	Professional		$8.77	$57.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $273.27 / $376.19 / $572.00	Facility		$273.27	$376.19	$572.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,889.17 / $1,945.84 / $1,945.84	Professional		$1,889.17	$1,945.84	$1,945.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.97 / $21.05 / $443.99	Facility		$14.97	$21.05	$443.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $33.96 / $388.01	Professional		$13.76	$33.96	$388.01
United Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $14.80 / $135.35	Professional		$9.99	$14.80	$135.35