Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $4,446.28 / $9,941.45	Facility		$57.54	$4,446.28	$9,941.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.16 / $57.54 / $5,319.20	Professional		$56.16	$57.54	$5,319.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.93 / $81.61 / $181.03	Facility		$58.93	$81.61	$181.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $62.40 / $114.91	Professional		$57.78	$62.40	$114.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $66.50 / $73.89 / $180.12	Professional		$66.50	$73.89	$180.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.93 / $58.93 / $58.93	Facility		$58.93	$58.93	$58.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $58.93 / $58.93	Professional		$58.93	$58.93	$58.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.86 / $68.00 / $247.00	Professional		$65.86	$68.00	$247.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $343.50 / $343.50	Facility		$80.00	$343.50	$343.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $253.35 / $253.35 / $300.02	Professional		$253.35	$253.35	$300.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $122.24	Professional		$85.00	$85.00	$122.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $69.33 / $85.62	Facility		$57.54	$69.33	$85.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $58.93 / $69.33	Professional		$58.93	$58.93	$69.33
United Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $57.78 / $111.87	Professional		$57.78	$57.78	$111.87