Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.79 / $275.35 / $509.60	Facility		$39.79	$275.35	$509.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.10 / $37.99 / $138.40	Professional		$33.10	$37.99	$138.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.38 / $32.88 / $4,604.00	Facility		$26.38	$32.88	$4,604.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $37.09 / $87.14	Professional		$26.88	$37.09	$87.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $94.04 / $123.15 / $457.84	Facility		$94.04	$123.15	$457.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $21.19 / $52.24	Professional		$15.41	$21.19	$52.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $49.58 / $132.91	Professional		$25.34	$49.58	$132.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $96.00 / $393.93	Professional		$50.00	$96.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $173.34 / $378.47 / $432.96	Facility		$173.34	$378.47	$432.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $568.98 / $568.98 / $698.25	Professional		$568.98	$568.98	$698.25
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 $15.39 / $83.59 / $135.75	Facility		$15.39	$83.59	$135.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.86 / $49.58 / $124.48	Professional		$25.86	$49.58	$124.48
United Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $80.87 / $175.68	Professional		$33.22	$80.87	$175.68