Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.74 / $53.98 / $53.98	Facility		$49.74	$53.98	$53.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $53.98 / $90.53	Professional		$47.52	$53.98	$90.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.74 / $87.66 / $87.66	Professional		$5.74	$87.66	$87.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.13 / $93.13 / $93.13	Facility		$93.13	$93.13	$93.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.13 / $93.13 / $93.13	Professional		$93.13	$93.13	$93.13
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 $104.09 / $164.36 / $219.14	Facility		$104.09	$164.36	$219.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $383.50 / $416.37 / $493.07	Professional		$383.50	$416.37	$493.07
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 $113.84 / $129.77 / $178.43	Facility		$113.84	$129.77	$178.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.13 / $93.13 / $93.13	Professional		$93.13	$93.13	$93.13
United Facility/Professional Professional Modifier Low / Median / High Price $91.30 / $91.30 / $183.30	Professional		$91.30	$91.30	$183.30