Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $141.25 / $398.11	Facility		$38.02	$141.25	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $89.13 / $186.21	Professional		$38.02	$89.13	$186.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $51.29 / $128.82	Facility		$40.74	$51.29	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $44.67 / $67.61	Professional		$32.36	$44.67	$67.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $40.74 / $77.62	Professional		$31.62	$40.74	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $100.00	Professional		$50.12	$70.79	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $257.04 / $831.76	Professional		$36.31	$257.04	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $933.25 / $933.25	Facility		$104.71	$933.25	$933.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,862.09	Professional		$954.99	$954.99	$1,862.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $3,981.07 / $5,623.41	Facility		$91.20	$3,981.07	$5,623.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $66.07 / $95.50	Professional		$50.12	$66.07	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $19.50 / $63.10	Professional		$11.22	$19.50	$63.10