Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.60 / $196.55 / $2,190.36	Facility		$39.60	$196.55	$2,190.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $289.60 / $876.99	Professional		$16.80	$289.60	$876.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.48 / $69.62 / $117.80	Facility		$58.48	$69.62	$117.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $9.09 / $9.09	Professional		$5.45	$9.09	$9.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $45.00 / $100.00	Professional		$31.50	$45.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $2.87 / $2.87	Professional		$2.87	$2.87	$2.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $125.00 / $801.00	Professional		$46.00	$125.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $760.00	Facility		$100.00	$100.00	$760.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $45.68 / $45.68 / $45.68	Professional		$45.68	$45.68	$45.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $0.25 / $179.17	Facility		$0.23	$0.25	$179.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $2.87 / $2.87	Professional		$2.87	$2.87	$2.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $7.80	Professional		$6.00	$6.00	$7.80
United Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $12.77 / $12.77	Professional		$12.77	$12.77	$12.77