Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.59 / $35.75 / $84.82	Facility		$9.59	$35.75	$84.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $10.00 / $27.32	Professional		$7.45	$10.00	$27.32
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 $11.68 / $28.08 / $69.88	Professional		$11.68	$28.08	$69.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Facility		$12.30	$12.30	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $48.34 / $96.62	Professional		$17.50	$48.34	$96.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $34.54 / $70.00 / $70.00	Facility		$34.54	$70.00	$70.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $153.85 / $153.85 / $153.85	Professional		$153.85	$153.85	$153.85
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 $9.74 / $13.83 / $21.53	Facility		$9.74	$13.83	$21.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $16.66 / $96.62	Professional		$10.64	$16.66	$96.62
United Facility/Professional Facility Modifier Low / Median / High Price $12.63 / $12.63 / $12.63	Facility		$12.63	$12.63	$12.63
United Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $9.96 / $22.21	Professional		$7.11	$9.96	$22.21