Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $61.66 / $275.42	Facility		$48.98	$61.66	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $56.23 / $151.36	Professional		$42.66	$56.23	$151.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $2.00 / $5.01	Facility		$1.58	$2.00	$5.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $61.66 / $257.04	Professional		$1.78	$61.66	$257.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $85.11 / $169.82	Professional		$67.61	$85.11	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $79.43 / $141.25	Professional		$56.23	$79.43	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $398.11 / $831.76	Professional		$263.03	$398.11	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $63.10 / $100.00	Facility		$45.71	$63.10	$100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $77.62 / $141.25	Professional		$56.23	$77.62	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $67.61 / $147.91	Professional		$47.86	$67.61	$147.91