Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.59 / $203.59 / $203.59	Facility		$203.59	$203.59	$203.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.59 / $299.14 / $420.06	Professional		$203.59	$299.14	$420.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.76 / $106.76 / $483.15	Facility		$106.76	$106.76	$483.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $336.81 / $446.81	Professional		$20.00	$336.81	$446.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.65 / $487.65 / $487.65	Facility		$487.65	$487.65	$487.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.63 / $359.63 / $359.63	Professional		$359.63	$359.63	$359.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $160.00 / $283.26	Professional		$150.00	$160.00	$283.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $840.52 / $2,315.16 / $2,399.56	Facility		$840.52	$2,315.16	$2,399.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,418.79 / $3,555.54 / $3,699.98	Professional		$3,418.79	$3,555.54	$3,699.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $70.00 / $85.00	Professional		$60.00	$70.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.72 / $600.62 / $943.17	Facility		$245.72	$600.62	$943.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $359.63 / $359.63 / $929.94	Professional		$359.63	$359.63	$929.94
United Facility/Professional Professional Modifier Low / Median / High Price $188.82 / $283.23 / $587.78	Professional		$188.82	$283.23	$587.78