Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.53 / $23.29 / $50.58	Professional		$15.53	$23.29	$50.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.38 / $48.38 / $48.38	Facility		$48.38	$48.38	$48.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $48.98 / $221.73	Professional		$25.33	$48.98	$221.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.10 / $601.86 / $1,637.27	Facility		$95.10	$601.86	$1,637.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $46.96 / $67.09 / $117.94	Professional		$46.96	$67.09	$117.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $42.92 / $179.01	Professional		$19.87	$42.92	$179.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $87.00 / $801.00	Professional		$13.64	$87.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $43.23 / $182.38 / $298.64	Facility		$43.23	$182.38	$298.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $913.97 / $941.39 / $941.39	Professional		$913.97	$941.39	$941.39
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 $23.27 / $32.75 / $216.49	Facility		$23.27	$32.75	$216.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $42.67 / $192.15	Professional		$21.36	$42.67	$192.15
United Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $23.15 / $80.95	Professional		$15.76	$23.15	$80.95