Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $91.37 / $237.34	Facility		$42.28	$91.37	$237.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $42.28 / $50.94	Professional		$40.75	$42.28	$50.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.27 / $68.09 / $152.71	Facility		$42.27	$68.09	$152.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $40.53 / $84.30	Professional		$40.53	$40.53	$84.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $341.25 / $1,331.02	Facility		$92.60	$341.25	$1,331.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $42.53 / $100.00	Professional		$41.29	$42.53	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.87 / $28.87 / $28.87	Facility		$28.87	$28.87	$28.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $28.87 / $28.87	Professional		$28.87	$28.87	$28.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $638.07 / $801.00	Professional		$283.26	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $67.47 / $2,036.20 / $2,036.20	Facility		$67.47	$2,036.20	$2,036.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $227.88 / $227.88 / $297.00	Professional		$227.88	$227.88	$297.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.96 / $88.06 / $88.06	Professional		$42.96	$88.06	$88.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.50 / $48.26 / $66.22	Facility		$40.50	$48.26	$66.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $28.87 / $28.87	Professional		$28.87	$28.87	$28.87
United Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $40.53 / $77.86	Professional		$40.53	$40.53	$77.86