Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $5,248.07	Facility		$245.47	$245.47	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.88 / $245.47	Professional		$25.70	$33.88	$245.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $42.66 / $107.15	Facility		$33.88	$42.66	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.38 / $23.44	Professional		$17.78	$21.38	$23.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $64.57 / $95.50	Professional		$36.31	$64.57	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.88 / $630.96	Professional		$32.36	$33.88	$630.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $34.67 / $407.38	Facility		$31.62	$34.67	$407.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.68 / $0.68	Professional		$0.68	$0.68	$0.68