Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $140.00 / $140.00	Facility		$140.00	$140.00	$140.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $140.00 / $140.00	Professional		$140.00	$140.00	$140.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.26 / $239.98 / $634.50	Facility		$199.26	$239.98	$634.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.20 / $266.75 / $266.75	Professional		$229.20	$266.75	$266.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $533.99 / $750.50 / $1,101.36	Professional		$533.99	$750.50	$1,101.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.29 / $223.29 / $264.68	Facility		$223.29	$223.29	$264.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $163.00 / $163.00	Professional		$163.00	$163.00	$163.00
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 $100.00 / $285.00 / $285.00	Facility		$100.00	$285.00	$285.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,289.77 / $1,289.77 / $1,341.36	Professional		$1,289.77	$1,289.77	$1,341.36
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 $140.00 / $140.00 / $223.29	Facility		$140.00	$140.00	$223.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $163.00 / $223.29	Professional		$163.00	$163.00	$223.29
United Facility/Professional Professional Modifier Low / Median / High Price $156.43 / $170.65 / $358.74	Professional		$156.43	$170.65	$358.74