Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.20 / $16.20 / $18.51	Facility		$16.20	$16.20	$18.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $26.22 / $39.68	Professional		$16.20	$26.22	$39.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.54 / $43.52 / $73.62	Facility		$36.54	$43.52	$73.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.29 / $46.32 / $50.00	Professional		$30.29	$46.32	$50.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.48 / $87.50 / $127.79	Facility		$63.48	$87.50	$127.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $102.40 / $165.52	Professional		$67.73	$102.40	$165.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $30.86 / $30.86	Professional		$30.86	$30.86	$30.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $44.00 / $638.07	Professional		$40.00	$44.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $83.61 / $270.82 / $280.68	Facility		$83.61	$270.82	$280.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $282.11 / $282.11 / $432.83	Professional		$282.11	$282.11	$432.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $165.70 / $165.70 / $165.70	Professional		$165.70	$165.70	$165.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.06 / $64.91 / $100.57	Facility		$42.06	$64.91	$100.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $30.86 / $60.86	Professional		$30.86	$30.86	$60.86
United Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $30.76 / $110.61	Professional		$24.40	$30.76	$110.61