Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $25.12 / $25.12	Facility		$21.88	$25.12	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $43.65 / $58.88	Professional		$25.70	$43.65	$58.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $48.98 / $123.03	Facility		$38.90	$48.98	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $51.29 / $93.33	Professional		$42.66	$51.29	$93.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $100.00 / $181.97	Facility		$89.13	$100.00	$181.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $263.03	Professional		$97.72	$151.36	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $53.70 / $144.54	Professional		$48.98	$53.70	$144.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $616.60 / $616.60	Professional		$398.11	$616.60	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $87.10 / $138.04	Facility		$44.67	$87.10	$138.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $81.28	Professional		$43.65	$43.65	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $81.28	Professional		$32.36	$40.74	$81.28