Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.27 / $99.03 / $106.41	Facility		$85.27	$99.03	$106.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.17 / $87.33 / $161.72	Professional		$69.17	$87.33	$161.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.25 / $3.25 / $14.70	Facility		$3.25	$3.25	$14.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $7.00 / $222.59	Professional		$3.10	$7.00	$222.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $114.39 / $168.24 / $342.65	Professional		$114.39	$168.24	$342.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.46 / $113.46 / $113.46	Facility		$113.46	$113.46	$113.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.32 / $132.41 / $244.53	Professional		$91.32	$132.41	$244.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.44 / $121.44 / $222.99	Professional		$84.44	$121.44	$222.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $383.01 / $414.44 / $414.44	Facility		$383.01	$414.44	$414.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $534.72 / $721.97 / $743.63	Professional		$534.72	$721.97	$743.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $60.00 / $85.00	Professional		$32.34	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.96 / $113.43 / $178.38	Facility		$82.96	$113.43	$178.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.66 / $152.35 / $253.76	Professional		$97.66	$152.35	$253.76
United Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $116.00 / $116.00	Facility		$116.00	$116.00	$116.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $112.17 / $246.59	Professional		$82.26	$112.17	$246.59