Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.32 / $14.32 / $14.32	Facility		$14.32	$14.32	$14.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $22.04 / $36.65	Professional		$14.32	$22.04	$36.65
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 $5.75 / $16.64 / $66.79	Professional		$5.75	$16.64	$66.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $5.00 / $12.40	Professional		$3.50	$5.00	$12.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $40.54 / $40.54	Facility		$40.54	$40.54	$40.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.26 / $48.50 / $58.10	Professional		$35.26	$48.50	$58.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $350.00 / $638.07	Professional		$350.00	$350.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.36 / $193.28 / $193.28	Facility		$90.36	$193.28	$193.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $200.67 / $225.90 / $305.33	Professional		$200.67	$225.90	$305.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $85.00	Professional		$60.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.18 / $55.72 / $79.73	Facility		$15.18	$55.72	$79.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $41.68 / $50.10	Professional		$27.03	$41.68	$50.10
United Facility/Professional Facility Modifier Low / Median / High Price $38.28 / $38.28 / $38.28	Facility		$38.28	$38.28	$38.28
United Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $17.68 / $43.66	Professional		$2.00	$17.68	$43.66