Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $50.12 / $125.89	Facility		$19.95	$50.12	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.95 / $1,288.25	Professional		$19.05	$19.95	$1,288.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $21.88 / $31.62	Facility		$0.02	$21.88	$31.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $21.38 / $41.69	Professional		$20.42	$21.38	$41.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $23.99 / $52.48	Facility		$20.42	$23.99	$52.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.30 / $63.10	Professional		$19.95	$26.30	$63.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $72.44 / $138.04	Professional		$42.66	$72.44	$138.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $85.11 / $85.11	Facility		$79.43	$85.11	$85.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $28.84 / $28.84	Facility		$21.38	$28.84	$28.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $41.69	Professional		$19.50	$19.50	$41.69