Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.86 / $20.14 / $103.19	Facility		$11.86	$20.14	$103.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $18.80 / $43.89	Professional		$10.58	$18.80	$43.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $16.78 / $18.93	Facility		$14.46	$16.78	$18.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $24.51 / $47.15	Professional		$14.60	$24.51	$47.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.76 / $19.93 / $53.88	Professional		$14.76	$19.93	$53.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $16.57 / $16.57	Facility		$16.57	$16.57	$16.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $22.58 / $51.57	Professional		$13.09	$22.58	$51.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $27.59 / $48.44	Professional		$12.46	$27.59	$48.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56.02 / $60.47 / $60.47	Facility		$56.02	$60.47	$60.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $236.00 / $250.96 / $250.96	Professional		$236.00	$250.96	$250.96
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 $12.89 / $23.46 / $44.92	Facility		$12.89	$23.46	$44.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $25.35 / $59.33	Professional		$13.85	$25.35	$59.33
United Facility/Professional Facility Modifier Low / Median / High Price $28.71 / $28.71 / $28.71	Facility		$28.71	$28.71	$28.71
United Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $24.14 / $61.17	Professional		$17.07	$24.14	$61.17