Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.72 / $147.72 / $147.72	Facility		$147.72	$147.72	$147.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $147.72 / $151.27	Professional		$142.38	$147.72	$151.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.73 / $77.05 / $142.38	Professional		$23.73	$77.05	$142.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Facility		$151.27	$151.27	$151.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Professional		$151.27	$151.27	$151.27
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 $169.07 / $355.94 / $667.39	Facility		$169.07	$355.94	$667.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $676.29 / $676.29 / $800.87	Professional		$676.29	$676.29	$800.87
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 $117.95 / $159.50 / $177.97	Facility		$117.95	$159.50	$177.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $151.27 / $202.24	Professional		$151.27	$151.27	$202.24
United Facility/Professional Professional Modifier Low / Median / High Price $161.79 / $161.79 / $330.25	Professional		$161.79	$161.79	$330.25