Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.36 / $106.73 / $106.73	Facility		$98.36	$106.73	$106.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.96 / $106.05 / $157.81	Professional		$93.96	$106.05	$157.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $7.06 / $149.10	Professional		$7.06	$7.06	$149.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $393.93 / $801.00	Professional		$127.00	$393.93	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $345.72 / $681.16 / $1,535.21	Facility		$345.72	$681.16	$1,535.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $923.86 / $1,667.93 / $1,978.96	Professional		$923.86	$1,667.93	$1,978.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.93 / $486.74 / $655.02	Facility		$123.93	$486.74	$655.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $266.50	Professional		$147.91	$147.91	$266.50
United Facility/Professional Professional Modifier Low / Median / High Price $342.87 / $342.87 / $642.33	Professional		$342.87	$342.87	$642.33