Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $234.42 / $263.03	Facility		$19.95	$234.42	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $25.12	Professional		$19.95	$19.95	$25.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $120.23	Professional		$14.45	$14.45	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $85.11	Facility		$72.44	$72.44	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $630.96 / $831.76	Professional		$144.54	$630.96	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $275.42	Professional		$100.00	$100.00	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $32.36 / $33.11	Professional		$30.20	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $21.88 / $151.36	Facility		$20.89	$21.88	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Professional		$10.47	$10.47	$10.47
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $39.81 / $60.26	Professional		$34.67	$39.81	$60.26