Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $154.88	Facility		$23.99	$23.99	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $23.99	Professional		$15.14	$19.05	$23.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $6.92 / $7.41	Facility		$6.92	$6.92	$7.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.13 / $50.12	Professional		$5.75	$8.13	$50.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.91 / $51.29	Professional		$19.05	$22.91	$51.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $18.20 / $61.66	Professional		$16.98	$18.20	$61.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $281.84 / $281.84	Professional		$234.42	$281.84	$281.84
Optum Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $23.44 / $58.88	Facility		$16.60	$23.44	$58.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $79.43	Professional		$19.95	$23.99	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.44 / $57.54	Professional		$15.85	$23.44	$57.54