Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.48 / $74.14 / $187.05	Facility		$18.48	$74.14	$187.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $18.48 / $27.34	Professional		$14.50	$18.48	$27.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.37 / $486.00 / $876.00	Facility		$11.37	$486.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $15.99 / $47.63	Professional		$10.80	$15.99	$47.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $42.18 / $87.84 / $200.29	Facility		$42.18	$87.84	$200.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $24.95 / $55.26	Professional		$18.10	$24.95	$55.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $1.92 / $78.61	Facility		$0.63	$1.92	$78.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $15.69 / $54.84	Professional		$9.02	$15.69	$54.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $68.00 / $393.93	Professional		$31.00	$68.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $118.24 / $118.24	Facility		$35.97	$118.24	$118.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $162.76 / $162.76 / $162.76	Professional		$162.76	$162.76	$162.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $31.87 / $85.00	Professional		$20.28	$31.87	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.50 / $24.45 / $41.12	Facility		$14.50	$24.45	$41.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $15.70 / $59.16	Professional		$9.18	$15.70	$59.16
United Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $11.22 / $48.96	Professional		$6.88	$11.22	$48.96