Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $251.19 / $630.96	Facility		$100.00	$251.19	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $100.00 / $120.23	Professional		$97.72	$100.00	$120.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $123.03 / $234.42	Facility		$107.15	$123.03	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $31.62 / $102.33	Professional		$14.45	$31.62	$102.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $100.00 / $120.23	Facility		$83.18	$100.00	$120.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $302.00	Professional		$102.33	$131.83	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Professional		$11.75	$11.75	$11.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $346.74 / $660.69	Professional		$208.93	$346.74	$660.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $120.23 / $144.54	Facility		$20.42	$120.23	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $37.15	Professional		$12.30	$12.30	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $234.42	Professional		$102.33	$102.33	$234.42