Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $439.33 / $439.33	Facility		$29.84	$439.33	$439.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $16.26 / $43.75	Professional		$11.67	$16.26	$43.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.81 / $7.00 / $18.51	Facility		$5.81	$7.00	$18.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $7.45 / $7.45	Professional		$6.68	$7.45	$7.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $41.42 / $59.49	Professional		$28.84	$41.42	$59.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $4.38 / $9.38	Professional		$4.38	$4.38	$9.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $856.80 / $856.80	Facility		$100.00	$856.80	$856.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $86.76 / $86.76	Professional		$86.76	$86.76	$86.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.82 / $17.20 / $102.29	Facility		$14.82	$17.20	$102.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $4.38 / $4.38	Professional		$4.38	$4.38	$4.38
United Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $5.63 / $11.68	Professional		$4.87	$5.63	$11.68