Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.75 / $103.46 / $195.09	Professional		$76.75	$103.46	$195.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.55 / $13.91 / $13.91	Facility		$12.55	$13.91	$13.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.11 / $159.56 / $250.40	Professional		$139.11	$159.56	$250.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $26.80 / $26.80 / $26.80	Facility		$26.80	$26.80	$26.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.77 / $153.77 / $171.59	Facility		$153.77	$153.77	$171.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $153.77 / $288.75	Professional		$130.69	$153.77	$288.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $215.00 / $215.00 / $801.00	Professional		$215.00	$215.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $172.15 / $1,123.95 / $1,164.94	Facility		$172.15	$1,123.95	$1,164.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.66 / $122.75 / $269.39	Facility		$22.66	$122.75	$269.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $153.77 / $153.77	Professional		$130.69	$153.77	$153.77
United Facility/Professional Professional Modifier Low / Median / High Price $84.29 / $105.46 / $144.21	Professional		$84.29	$105.46	$144.21