Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.23 / $62.90 / $211.54	Facility		$54.23	$62.90	$211.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.75 / $57.25 / $108.90	Professional		$45.75	$57.25	$108.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.52 / $1.83 / $4.83	Facility		$1.52	$1.83	$4.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $2.88 / $125.54	Professional		$1.62	$2.88	$125.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $56.95 / $78.92 / $122.87	Professional		$56.95	$78.92	$122.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.28 / $77.09 / $143.44	Professional		$55.28	$77.09	$143.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $638.07 / $801.00	Professional		$118.00	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $240.69 / $261.35 / $261.35	Facility		$240.69	$261.35	$261.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $343.02 / $427.68 / $427.68	Professional		$343.02	$427.68	$427.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.42 / $66.02 / $96.72	Facility		$47.42	$66.02	$96.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.02 / $77.09 / $147.03	Professional		$55.02	$77.09	$147.03
United Facility/Professional Professional Modifier Low / Median / High Price $55.39 / $75.23 / $187.44	Professional		$55.39	$75.23	$187.44