Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.93 / $173.93 / $173.93	Facility		$173.93	$173.93	$173.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.65 / $173.93 / $178.13	Professional		$167.65	$173.93	$178.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.61 / $206.70 / $349.72	Facility		$173.61	$206.70	$349.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.65 / $213.75 / $425.73	Professional		$167.65	$213.75	$425.73
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Facility		$178.13	$178.13	$178.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Professional		$178.13	$178.13	$178.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $638.07 / $801.00	Professional		$129.00	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $209.56 / $419.12 / $785.85	Facility		$209.56	$419.12	$785.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $796.33 / $796.33 / $943.02	Professional		$796.33	$796.33	$943.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $85.00 / $85.00	Professional		$70.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.93 / $209.56 / $209.56	Facility		$173.93	$209.56	$209.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $178.13 / $240.46	Professional		$178.13	$178.13	$240.46
United Facility/Professional Professional Modifier Low / Median / High Price $202.90 / $202.90 / $385.27	Professional		$202.90	$202.90	$385.27