Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.92 / $444.56 / $615.87	Facility		$267.92	$444.56	$615.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $65.00 / $652.00	Professional		$25.00	$65.00	$652.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.96 / $57.98 / $152.69	Facility		$47.96	$57.98	$152.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $43.55 / $69.31 / $464.00	Facility		$43.55	$69.31	$464.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $24.31 / $38.90	Professional		$19.71	$24.31	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.74 / $248.92 / $752.92	Facility		$210.74	$248.92	$752.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $393.93 / $1,619.00	Professional		$120.00	$393.93	$1,619.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $105.00 / $105.00	Facility		$105.00	$105.00	$105.00
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 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $210.74 / $248.92 / $752.92	Facility		$210.74	$248.92	$752.92