Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.02 / $45.40 / $45.40	Facility		$41.02	$45.40	$45.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $41.02 / $50.14	Professional		$27.43	$41.02	$50.14
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 $41.29 / $86.90 / $131.13	Professional		$41.29	$86.90	$131.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.09 / $48.09 / $48.09	Facility		$48.09	$48.09	$48.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.14 / $222.64 / $222.64	Professional		$201.14	$222.64	$222.64
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 $86.96 / $229.05 / $229.05	Facility		$86.96	$229.05	$229.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $262.88 / $262.88 / $360.90	Professional		$262.88	$262.88	$360.90
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 $38.10 / $57.52 / $83.52	Facility		$38.10	$57.52	$83.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.81 / $48.22 / $222.64	Professional		$44.81	$48.22	$222.64
United Facility/Professional Facility Modifier Low / Median / High Price $49.39 / $49.39 / $49.39	Facility		$49.39	$49.39	$49.39
United Facility/Professional Professional Modifier Low / Median / High Price $34.68 / $44.03 / $124.87	Professional		$34.68	$44.03	$124.87