Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.04 / $55.04 / $55.04	Facility		$55.04	$55.04	$55.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.97 / $42.87 / $55.04	Professional		$23.97	$42.87	$55.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $486.00 / $876.00	Facility		$203.00	$486.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $70.58 / $118.26	Professional		$34.61	$70.58	$118.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $9.15 / $14.05 / $100.00	Facility		$9.15	$14.05	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $8.00 / $20.00	Professional		$5.60	$8.00	$20.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.53 / $17.07 / $76.20	Professional		$15.53	$17.07	$76.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $638.07 / $801.00	Professional		$350.00	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $124.40 / $128.44	Facility		$85.00	$124.40	$128.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $248.34 / $248.34 / $248.34	Professional		$248.34	$248.34	$248.34
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 $24.04 / $33.15 / $64.67	Facility		$24.04	$33.15	$64.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $62.97 / $76.20	Professional		$20.23	$62.97	$76.20
United Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $37.90 / $37.90	Facility		$37.90	$37.90	$37.90
United Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $53.76 / $128.91	Professional		$37.54	$53.76	$128.91