Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $41.00 / $573.00	Facility		$38.00	$41.00	$573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $158.00 / $415.09	Professional		$38.00	$158.00	$415.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.65 / $93.95 / $247.25	Facility		$77.65	$93.95	$247.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.80 / $88.03 / $128.00	Professional		$64.80	$88.03	$128.00
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 $96.00 / $140.00 / $210.00	Professional		$96.00	$140.00	$210.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $218.00 / $638.07	Professional		$108.00	$218.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $140.00	Facility		$135.00	$135.00	$140.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $637.59 / $637.59 / $1,440.00	Professional		$637.59	$637.59	$1,440.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $70.00	Professional		$60.00	$60.00	$70.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.80 / $3,375.00 / $4,387.00	Facility		$162.80	$3,375.00	$4,387.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $140.00 / $178.60	Professional		$100.00	$140.00	$178.60
United Facility/Professional Professional Modifier Low / Median / High Price $125.75 / $125.75 / $125.75	Professional		$125.75	$125.75	$125.75