Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $162.18	Professional		$47.86	$47.86	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $85.11 / $398.11	Facility		$67.61	$85.11	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $144.54	Professional		$60.26	$79.43	$144.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $89.13 / $173.78	Professional		$61.66	$89.13	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $436.52 / $707.95	Professional		$134.90	$436.52	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $630.96 / $831.76	Professional		$128.82	$630.96	$831.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $51.29 / $162.18	Facility		$48.98	$51.29	$162.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $288.40	Professional		$60.26	$79.43	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $229.09 / $630.96	Professional		$60.26	$229.09	$630.96