Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $41.00 / $382.00	Facility		$38.00	$41.00	$382.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $72.00 / $162.00	Professional		$38.00	$72.00	$162.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.82 / $46.97 / $123.63	Facility		$38.82	$46.97	$123.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $45.19 / $66.09	Professional		$37.00	$45.19	$66.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $35.00 / $77.98	Professional		$24.50	$35.00	$77.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $105.00	Professional		$50.00	$70.00	$105.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.26 / $109.00 / $638.07	Professional		$74.26	$109.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $940.95	Facility		$90.00	$90.00	$940.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $960.00 / $1,881.90 / $1,881.90	Professional		$960.00	$1,881.90	$1,881.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $18.43 / $18.43	Professional		$18.43	$18.43	$18.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.40 / $3,375.00 / $4,387.00	Facility		$81.40	$3,375.00	$4,387.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $89.00	Professional		$50.00	$70.00	$89.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $62.87 / $62.87	Professional		$62.87	$62.87	$62.87