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 Professional Modifier Low / Median / High Price $103.13 / $144.00 / $171.00	Professional		$103.13	$144.00	$171.00
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 $129.00 / $393.93 / $801.00	Professional		$129.00	$393.93	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $171.00 / $360.00 / $675.00	Facility		$171.00	$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
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 / $328.23	Professional		$180.00	$180.00	$328.23