Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $138.04 / $575.44	Facility		$2.34	$138.04	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $1.66 / $3,388.44	Professional		$0.87	$1.66	$3,388.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $63.10 / $158.49	Facility		$50.12	$63.10	$158.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.55 / $1.10	Professional		$0.33	$0.55	$1.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $72.44 / $125.89	Facility		$38.02	$72.44	$125.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $234.42	Professional		$67.61	$97.72	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.51 / $58.88 / $72.44	Facility		$0.51	$58.88	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.49 / $1.07	Professional		$0.33	$0.49	$1.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $630.96 / $831.76	Professional		$128.82	$630.96	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Professional		$5,754.40	$5,754.40	$5,754.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.45 / $0.68	Facility		$0.32	$0.45	$0.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $0.47 / $1.07	Professional		$0.33	$0.47	$1.07
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $77.62 / $117.49	Facility		$74.13	$77.62	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $2.04 / $70.79	Professional		$0.36	$2.04	$70.79