Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $48.98	Professional		$30.20	$37.15	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $74.13 / $120.23	Professional		$38.02	$74.13	$120.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $23.99 / $109.65	Facility		$9.55	$23.99	$109.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.55 / $19.05	Professional		$7.59	$9.55	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $16.98 / $100.00	Professional		$15.49	$16.98	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $630.96 / $831.76	Professional		$89.13	$630.96	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $331.13	Professional		$281.84	$331.13	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $43.65 / $64.57	Facility		$30.20	$43.65	$64.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $52.48 / $181.97	Professional		$39.81	$52.48	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $61.66 / $93.33	Facility		$58.88	$61.66	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $51.29 / $102.33	Professional		$35.48	$51.29	$102.33