Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.34 / $62.62 / $62.62	Facility		$60.34	$62.62	$62.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.04 / $68.59 / $93.30	Professional		$50.04	$68.59	$93.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.74 / $82.74 / $374.44	Facility		$82.74	$82.74	$374.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.02 / $82.37 / $333.57	Professional		$65.02	$82.37	$333.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $54.75 / $78.22 / $85.46	Facility		$54.75	$78.22	$85.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $62.58 / $86.04 / $188.01	Professional		$62.58	$86.04	$188.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.27 / $79.27 / $79.27	Facility		$79.27	$79.27	$79.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.30 / $61.30 / $61.30	Professional		$61.30	$61.30	$61.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.30 / $91.56 / $169.19	Professional		$66.30	$91.56	$169.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $121.10 / $344.74 / $344.74	Facility		$121.10	$344.74	$344.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $440.72 / $440.72 / $557.40	Professional		$440.72	$440.72	$557.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $60.00 / $85.00	Professional		$32.34	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.87 / $84.07 / $117.60	Facility		$63.87	$84.07	$117.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.30 / $61.30 / $177.78	Professional		$61.30	$61.30	$177.78
United Facility/Professional Professional Modifier Low / Median / High Price $55.96 / $74.88 / $157.94	Professional		$55.96	$74.88	$157.94