Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $309.06 / $634.54	Facility		$14.40	$309.06	$634.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $97.68 / $149.56	Professional		$14.40	$97.68	$149.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.83 / $92.65 / $385.82	Facility		$74.83	$92.65	$385.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $84.56 / $248.23	Professional		$18.07	$84.56	$248.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $98.32 / $132.66 / $208.27	Professional		$98.32	$132.66	$208.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $72.00 / $85.00	Facility		$72.00	$72.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.09 / $140.80 / $386.70	Professional		$92.09	$140.80	$386.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $169.00 / $638.07	Professional		$145.00	$169.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $332.10 / $755.40 / $864.36	Facility		$332.10	$755.40	$864.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $198.06 / $1,071.54 / $1,393.95	Professional		$198.06	$1,071.54	$1,393.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $95.00	Professional		$60.00	$60.00	$95.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.00 / $157.26 / $250.18	Facility		$87.00	$157.26	$250.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.63 / $143.29 / $407.43	Professional		$91.63	$143.29	$407.43
United Facility/Professional Professional Modifier Low / Median / High Price $108.75 / $167.09 / $346.07	Professional		$108.75	$167.09	$346.07