Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.95 / $177.09 / $460.03	Facility		$81.95	$177.09	$460.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $81.95 / $98.34	Professional		$78.98	$81.95	$98.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.46 / $89.96 / $107.70	Facility		$83.46	$89.96	$107.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $83.93 / $170.63	Professional		$78.98	$83.93	$170.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $77.20 / $77.20	Facility		$77.20	$77.20	$77.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $80.47 / $82.88 / $190.76	Professional		$80.47	$82.88	$190.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.93 / $83.93 / $83.93	Facility		$83.93	$83.93	$83.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.05 / $88.87 / $104.30	Professional		$87.05	$88.87	$104.30
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 $100.00 / $100.00 / $577.00	Facility		$100.00	$100.00	$577.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $381.63 / $396.90	Professional		$234.00	$381.63	$396.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.98 / $95.98 / $138.47	Facility		$78.98	$95.98	$138.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.67 / $2,250,000.00 / $2,400,000.00	Professional		$182.67	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.74 / $98.74 / $160.53	Professional		$98.74	$98.74	$160.53