Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.85 / $240.96 / $728.00	Facility		$113.85	$240.96	$728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $10.50 / $41.30	Professional		$1.00	$10.50	$41.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $293.00 / $876.00	Facility		$50.50	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $998.00 / $998.00 / $998.00	Professional		$998.00	$998.00	$998.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $83.12 / $103.73 / $362.51	Facility		$83.12	$103.73	$362.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $171.67 / $587.45	Facility		$64.00	$171.67	$587.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $73.06 / $73.06	Professional		$66.95	$73.06	$73.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.00 / $638.07 / $801.00	Professional		$232.00	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $95.00 / $100.00	Facility		$95.00	$95.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,335.23 / $3,335.23 / $3,335.23	Professional		$3,335.23	$3,335.23	$3,335.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $70.00 / $85.00	Professional		$60.00	$70.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $171.67 / $587.45	Facility		$64.00	$171.67	$587.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $73.06 / $73.06	Professional		$66.95	$73.06	$73.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $12.50 / $12.50	Professional		$12.50	$12.50	$12.50
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00