Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.66 / $93.87 / $333.66	Facility		$85.66	$93.87	$333.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.17 / $85.19 / $127.94	Professional		$69.17	$85.19	$127.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.36 / $2.85 / $7.51	Facility		$2.36	$2.85	$7.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $4.30 / $189.68	Professional		$2.52	$4.30	$189.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $85.32 / $114.91 / $184.06	Professional		$85.32	$114.91	$184.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.60 / $115.66 / $217.69	Professional		$86.60	$115.66	$217.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.00 / $638.07 / $801.00	Professional		$187.00	$638.07	$801.00
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 / $636.69 / $636.69	Professional		$534.72	$636.69	$636.69
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 $75.95 / $103.15 / $144.62	Facility		$75.95	$103.15	$144.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.45 / $115.49 / $226.42	Professional		$86.45	$115.49	$226.42
United Facility/Professional Professional Modifier Low / Median / High Price $82.60 / $114.66 / $288.54	Professional		$82.60	$114.66	$288.54