Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $323.59 / $588.84	Facility		$104.71	$323.59	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $102.33	Professional		$63.10	$75.86	$102.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $64.57 / $162.18	Facility		$51.29	$64.57	$162.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $56.23 / $109.65	Professional		$40.74	$56.23	$109.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $131.83 / $245.47	Professional		$91.20	$131.83	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $63.10 / $123.03	Professional		$51.29	$63.10	$123.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $398.11 / $831.76	Professional		$128.82	$398.11	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $457.09 / $457.09	Professional		$158.49	$457.09	$457.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $87.10 / $154.88	Facility		$52.48	$87.10	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $123.03	Professional		$60.26	$85.11	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $50.12 / $100.00	Professional		$36.31	$50.12	$100.00