Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $23.99 / $33.11	Professional		$14.13	$23.99	$33.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $18.20 / $72.44	Professional		$7.59	$18.20	$72.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.61 / $11.22	Professional		$4.79	$6.61	$11.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $48.98 / $194.98	Professional		$35.48	$48.98	$194.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $398.11 / $831.76	Professional		$89.13	$398.11	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $302.00	Professional		$223.87	$302.00	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $33.11 / $83.18	Facility		$16.22	$33.11	$83.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $51.29 / $194.98	Professional		$27.54	$51.29	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $17.78 / $40.74	Professional		$2.00	$17.78	$40.74