Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.08 / $135.35 / $159.30	Facility		$60.08	$135.35	$159.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.90 / $60.08 / $86.86	Professional		$57.90	$60.08	$86.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.37 / $67.61 / $86.86	Facility		$55.37	$67.61	$86.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $67.67 / $128.79	Professional		$60.32	$67.67	$128.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.60 / $60.31 / $100.00	Facility		$59.60	$60.31	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $61.88 / $146.46	Professional		$60.08	$61.88	$146.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.52 / $61.52 / $61.52	Facility		$61.52	$61.52	$61.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $61.52 / $72.38	Professional		$61.52	$61.52	$72.38
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 $114.61 / $144.76 / $271.43	Facility		$114.61	$144.76	$271.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $477.55 / $477.55 / $477.55	Professional		$477.55	$477.55	$477.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $220.00 / $220.00	Professional		$60.00	$220.00	$220.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.08 / $86.26 / $101.24	Facility		$60.08	$86.26	$101.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $61.52 / $80.98	Professional		$61.52	$61.52	$80.98
United Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $60.32 / $107.69	Professional		$60.32	$60.32	$107.69