Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.44 / $54.14 / $160.66	Facility		$20.44	$54.14	$160.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $21.67 / $110.26	Professional		$17.89	$21.67	$110.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.37 / $23.42 / $61.69	Facility		$19.37	$23.42	$61.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.78 / $26.47 / $57.96	Professional		$20.78	$26.47	$57.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $13.67 / $33.78 / $52.22	Facility		$13.67	$33.78	$52.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $25.59 / $64.98	Professional		$18.34	$25.59	$64.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $25.19 / $52.03	Professional		$20.39	$25.19	$52.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $33.00 / $120.00	Professional		$18.44	$33.00	$120.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $86.10 / $97.09 / $97.09	Facility		$86.10	$97.09	$97.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $128.81 / $144.02 / $176.18	Professional		$128.81	$144.02	$176.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $26.33 / $35.65	Facility		$20.07	$26.33	$35.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $26.32 / $53.95	Professional		$20.43	$26.32	$53.95
United Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $22.20 / $51.58	Professional		$16.73	$22.20	$51.58