Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $130.91 / $264.58	Facility		$14.40	$130.91	$264.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $39.00 / $59.05	Professional		$14.40	$39.00	$59.05
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 $10.19 / $42.01 / $122.25	Professional		$10.19	$42.01	$122.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $53.87 / $86.58	Professional		$39.36	$53.87	$86.58
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 $36.81 / $56.26 / $154.16	Professional		$36.81	$56.26	$154.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $67.00 / $638.07	Professional		$58.00	$67.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $299.75 / $343.09	Facility		$131.83	$299.75	$343.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $80.90 / $423.78 / $552.98	Professional		$80.90	$423.78	$552.98
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 $36.17 / $62.84 / $99.34	Facility		$36.17	$62.84	$99.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $57.32 / $162.50	Professional		$36.54	$57.32	$162.50
United Facility/Professional Professional Modifier Low / Median / High Price $42.97 / $66.77 / $148.18	Professional		$42.97	$66.77	$148.18