Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.75 / $9.77 / $69.65	Facility		$8.75	$9.77	$69.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $8.66 / $10.41	Professional		$4.87	$8.66	$10.41
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 $68.92 / $98.57 / $148.75	Professional		$68.92	$98.57	$148.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $9.69 / $9.69	Facility		$9.69	$9.69	$9.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $40.54 / $40.54	Professional		$40.54	$40.54	$40.54
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 $17.05 / $70.00 / $70.00	Facility		$17.05	$70.00	$70.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $54.23 / $54.23 / $73.58	Professional		$54.23	$54.23	$73.58
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 $7.78 / $11.95 / $17.30	Facility		$7.78	$11.95	$17.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $10.03 / $40.54	Professional		$9.19	$10.03	$40.54
United Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $9.94 / $9.94	Facility		$9.94	$9.94	$9.94
United Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $9.18 / $23.56	Professional		$7.11	$9.18	$23.56