Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $83.58 / $128.97	Facility		$64.00	$83.58	$128.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.84 / $63.36 / $83.58	Professional		$50.84	$63.36	$83.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $57.31 / $225.00	Professional		$56.10	$57.31	$225.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $73.63 / $73.63 / $100.00	Professional		$73.63	$73.63	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.22 / $49.22 / $49.22	Facility		$49.22	$49.22	$49.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.22 / $49.22 / $54.75	Professional		$49.22	$49.22	$54.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $115.02 / $316.83 / $328.37	Facility		$115.02	$316.83	$328.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.57 / $49.22 / $92.73	Facility		$45.57	$49.22	$92.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.57 / $49.22 / $136.87	Professional		$45.57	$49.22	$136.87
United Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $16.22 / $43.56	Professional		$14.98	$16.22	$43.56