Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.72 / $425.25 / $425.25	Facility		$98.72	$425.25	$425.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.70 / $116.70 / $116.70	Professional		$116.70	$116.70	$116.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.96 / $57.98 / $152.69	Facility		$47.96	$57.98	$152.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.80 / $82.80 / $138.00	Professional		$82.80	$82.80	$138.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $130.41 / $186.30 / $451.76	Professional		$130.41	$186.30	$451.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $79.34 / $79.34	Professional		$79.34	$79.34	$79.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $167.37	Facility		$100.00	$100.00	$167.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $125.13 / $125.13 / $125.13	Professional		$125.13	$125.13	$125.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.70 / $116.70 / $116.70	Facility		$116.70	$116.70	$116.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $79.34 / $79.34	Professional		$79.34	$79.34	$79.34
United Facility/Professional Professional Modifier Low / Median / High Price $63.21 / $63.21 / $63.21	Professional		$63.21	$63.21	$63.21