Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $5,888.44 / $18,197.01	Facility		$269.15	$5,888.44	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $302.00 / $645.65	Professional		$100.00	$302.00	$645.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $57.54 / $58.88	Facility		$51.29	$57.54	$58.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $165.96 / $457.09	Facility		$97.72	$165.96	$457.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $194.98 / $398.11	Professional		$97.72	$194.98	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $199.53 / $588.84	Facility		$162.18	$199.53	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $630.96 / $1,698.24	Professional		$128.82	$630.96	$1,698.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $6,025.60	Professional		$3,311.31	$3,311.31	$6,025.60
Optum Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $39.81	Professional		$30.90	$30.90	$39.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $169.82 / $588.84	Facility		$125.89	$169.82	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $85.11	Professional		$60.26	$79.43	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $39.81 / $60.26	Professional		$34.67	$39.81	$60.26