Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $100.00	Facility		$85.11	$85.11	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $85.11	Professional		$43.65	$56.23	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $89.13 / $223.87	Facility		$70.79	$89.13	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $134.90	Professional		$93.33	$93.33	$134.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $128.82 / $190.55	Professional		$72.44	$128.82	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $75.86	Professional		$54.95	$54.95	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $141.25 / $630.96	Professional		$114.82	$141.25	$630.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $758.58 / $758.58	Professional		$645.65	$758.58	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $117.49 / $177.83	Facility		$44.67	$117.49	$177.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $75.86	Professional		$54.95	$54.95	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $57.54 / $70.79	Facility		$9.55	$57.54	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $123.03	Professional		$45.71	$57.54	$123.03