Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $44.20 / $59.29	Professional		$36.79	$44.20	$59.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.01 / $45.26 / $76.56	Facility		$38.01	$45.26	$76.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.67 / $51.39 / $62.13	Professional		$42.67	$51.39	$62.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $89.45 / $112.43 / $180.07	Facility		$89.45	$112.43	$180.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $95.46 / $144.28 / $233.23	Professional		$95.46	$144.28	$233.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $43.49 / $43.49	Professional		$43.49	$43.49	$43.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $54.00 / $638.07	Professional		$49.00	$54.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $118.03 / $382.31 / $396.25	Facility		$118.03	$382.31	$396.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $397.13 / $397.13 / $611.03	Professional		$397.13	$397.13	$611.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.47 / $147.47 / $147.47	Professional		$147.47	$147.47	$147.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.29 / $91.64 / $141.69	Facility		$59.29	$91.64	$141.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $43.49 / $85.76	Professional		$43.49	$43.49	$85.76
United Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $42.42 / $123.04	Professional		$34.00	$42.42	$123.04