Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.79 / $411.60 / $411.60	Facility		$243.79	$411.60	$411.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $34.49 / $411.60	Professional		$21.00	$34.49	$411.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.72 / $39.42 / $104.23	Facility		$32.72	$39.42	$104.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $22.73 / $22.73	Professional		$17.95	$22.73	$22.73
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $48.42 / $68.05 / $99.87	Professional		$48.42	$68.05	$99.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $33.00 / $393.93	Professional		$32.00	$33.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $950.51 / $950.51	Facility		$100.00	$950.51	$950.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $122.28 / $122.28 / $122.28	Professional		$122.28	$122.28	$122.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.03 / $34.49 / $307.18	Facility		$30.03	$34.49	$307.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02