Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.79 / $242.86 / $267.14	Facility		$100.79	$242.86	$267.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.79 / $100.79 / $171.65	Professional		$83.79	$100.79	$171.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.90 / $112.32 / $145.71	Facility		$92.90	$112.32	$145.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $101.19 / $101.19	Professional		$14.60	$101.19	$101.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $97.40 / $121.43	Facility		$75.70	$97.40	$121.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.79 / $100.79 / $249.96	Professional		$100.79	$100.79	$249.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $11.82 / $11.82	Professional		$11.82	$11.82	$11.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.00 / $279.00 / $393.93	Professional		$174.00	$279.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $115.36 / $734.60 / $734.60	Facility		$115.36	$734.60	$734.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $121.43 / $144.36	Facility		$19.73	$121.43	$144.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $16.61 / $196.56	Professional		$11.82	$16.61	$196.56
United Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $101.19 / $221.43	Professional		$101.19	$101.19	$221.43