Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $660.69 / $1,202.26	Facility		$213.80	$660.69	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $190.55	Professional		$114.82	$138.04	$190.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $194.98 / $489.78	Facility		$154.88	$194.98	$489.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $251.19	Professional		$128.82	$177.83	$251.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $57.54 / $100.00	Professional		$39.81	$57.54	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $302.00 / $363.08	Professional		$288.40	$302.00	$363.08
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 $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $165.96 / $281.84	Facility		$120.23	$165.96	$281.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $85.11	Professional		$60.26	$79.43	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $104.71	Professional		$43.65	$43.65	$104.71