Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.40 / $149.40 / $149.40	Facility		$149.40	$149.40	$149.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $149.40 / $153.00	Professional		$144.00	$149.40	$153.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.11 / $177.54 / $300.38	Facility		$149.11	$177.54	$300.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $171.00 / $362.61	Professional		$144.00	$171.00	$362.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Facility		$153.00	$153.00	$153.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Professional		$153.00	$153.00	$153.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.00 / $223.00 / $638.07	Professional		$141.00	$223.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $360.00 / $675.00	Facility		$180.00	$360.00	$675.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $684.00 / $684.00 / $810.00	Professional		$684.00	$684.00	$810.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $149.40 / $180.00 / $180.00	Facility		$149.40	$180.00	$180.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $225.00	Professional		$153.00	$153.00	$225.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $180.00 / $332.19	Professional		$180.00	$180.00	$332.19