Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.13 / $151.13 / $151.13	Facility		$151.13	$151.13	$151.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $31.66 / $151.13	Professional		$25.76	$31.66	$151.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.05 / $293.00 / $876.00	Facility		$54.05	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.21 / $62.85 / $117.40	Professional		$34.21	$62.85	$117.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $12.00 / $24.10	Professional		$8.40	$12.00	$24.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.19 / $33.19 / $33.19	Facility		$33.19	$33.19	$33.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.17 / $40.74 / $70.87	Professional		$29.17	$40.74	$70.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $190.00 / $393.93	Professional		$128.00	$190.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $61.02 / $133.19 / $152.57	Facility		$61.02	$133.19	$152.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $175.44 / $175.44 / $245.63	Professional		$175.44	$175.44	$245.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.68 / $38.84 / $151.13	Facility		$27.68	$38.84	$151.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $39.76 / $70.94	Professional		$28.69	$39.76	$70.94
United Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $30.95 / $68.97	Professional		$22.52	$30.95	$68.97