Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.75 / $48.75 / $48.75	Facility		$48.75	$48.75	$48.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $48.75 / $161.91	Professional		$48.75	$48.75	$161.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.28 / $79.28 / $358.79	Facility		$79.28	$79.28	$358.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $80.25 / $140.61	Professional		$63.00	$80.25	$140.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $54.42 / $70.02 / $168.53	Professional		$54.42	$70.02	$168.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.37 / $480.60 / $751.00	Professional		$335.37	$480.60	$751.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.38 / $638.07 / $801.00	Professional		$54.38	$638.07	$801.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $901.00 / $901.00 / $901.00	Professional		$901.00	$901.00	$901.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $95.49	Professional		$32.34	$32.34	$95.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.75 / $48.75 / $214.40	Facility		$48.75	$48.75	$214.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.92 / $396.63 / $396.63	Professional		$92.92	$396.63	$396.63
United Facility/Professional Professional Modifier Low / Median / High Price $92.92 / $92.92 / $542.00	Professional		$92.92	$92.92	$542.00