Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.63 / $283.97 / $379.76	Professional		$240.63	$283.97	$379.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.14 / $44.90 / $118.25	Facility		$37.14	$44.90	$118.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.14 / $364.30 / $928.96	Professional		$258.14	$364.30	$928.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $62.30 / $91.90 / $113.07	Facility		$62.30	$91.90	$113.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $592.28 / $698.44	Professional		$39.33	$592.28	$698.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $638.07 / $801.00	Professional		$283.26	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $80.00 / $100.00	Facility		$76.00	$80.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.93 / $60.00 / $94.15	Professional		$45.93	$60.00	$94.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $87.82 / $328.76	Facility		$69.70	$87.82	$328.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.43 / $47.52 / $61.42	Professional		$36.43	$47.52	$61.42
United Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $25.82 / $46.16	Professional		$22.19	$25.82	$46.16