Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $39.81 / $54.95	Professional		$22.91	$39.81	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $74.13 / $120.23	Professional		$37.15	$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 / $75.86	Professional		$15.49	$16.98	$75.86
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 $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $39.81 / $64.57	Facility		$22.39	$39.81	$64.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $32.36 / $112.20	Professional		$18.62	$32.36	$112.20
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 $31.62 / $51.29 / $102.33	Professional		$31.62	$51.29	$102.33