Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.57 / $107.24 / $254.61	Facility		$35.57	$107.24	$254.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $91.21 / $126.60	Professional		$35.57	$91.21	$126.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.29 / $146.74 / $459.62	Facility		$121.29	$146.74	$459.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.82 / $134.04 / $202.58	Professional		$42.82	$134.04	$202.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $121.48 / $182.28 / $409.70	Professional		$121.48	$182.28	$409.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.88 / $105.88 / $105.88	Facility		$105.88	$105.88	$105.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $78.08 / $78.08	Professional		$78.08	$78.08	$78.08
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 $182.50 / $502.69 / $521.03	Facility		$182.50	$502.69	$521.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $745.59 / $775.42 / $803.33	Professional		$745.59	$775.42	$803.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $85.00	Professional		$60.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.50 / $131.29 / $200.76	Facility		$65.50	$131.29	$200.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $78.08 / $442.77	Professional		$78.08	$78.08	$442.77
United Facility/Professional Professional Modifier Low / Median / High Price $76.68 / $105.51 / $250.43	Professional		$76.68	$105.51	$250.43