Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $15.60 / $15.60	Facility		$15.60	$15.60	$15.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $28.52 / $35.90	Professional		$15.60	$28.52	$35.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.17 / $30.49 / $59.71	Professional		$21.17	$30.49	$59.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.45 / $24.65 / $34.18	Professional		$20.45	$24.65	$34.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $638.07 / $801.00	Professional		$638.07	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $151.40 / $172.90	Facility		$85.00	$151.40	$172.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $199.18 / $199.18 / $296.25	Professional		$199.18	$199.18	$296.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $85.00	Professional		$50.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $29.56 / $53.05	Facility		$15.60	$29.56	$53.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $32.40 / $42.13	Professional		$24.30	$32.40	$42.13
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 $25.11 / $37.85 / $109.09	Professional		$25.11	$37.85	$109.09