Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.61 / $127.61 / $127.61	Facility		$127.61	$127.61	$127.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $127.61 / $130.69	Professional		$123.00	$127.61	$130.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.26 / $67.69 / $123.00	Professional		$48.26	$67.69	$123.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Facility		$130.69	$130.69	$130.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Professional		$130.69	$130.69	$130.69
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 $75.00 / $162.97 / $267.19	Facility		$75.00	$162.97	$267.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $270.75 / $461.25 / $607.30	Professional		$270.75	$461.25	$607.30
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 $77.22 / $127.61 / $153.75	Facility		$77.22	$127.61	$153.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.92 / $130.69 / $130.69	Professional		$103.92	$130.69	$130.69
United Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $128.13 / $240.04	Professional		$128.13	$128.13	$240.04