Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $257.04 / $380.19	Professional		$144.54	$257.04	$380.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $22.91 / $57.54	Facility		$18.20	$22.91	$57.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $363.08 / $812.83	Professional		$144.54	$363.08	$812.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $66.07 / $102.33	Facility		$39.81	$66.07	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $630.96 / $831.76	Professional		$128.82	$630.96	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $51.29 / $354.81	Facility		$33.88	$51.29	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $45.71 / $60.26	Professional		$35.48	$45.71	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $28.84 / $1,047.13	Facility		$4.47	$28.84	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $22.91 / $43.65	Professional		$17.38	$22.91	$43.65