Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $33.11	Professional		$30.20	$30.20	$33.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $36.31 / $141.25	Facility		$31.62	$36.31	$141.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.02 / $75.86	Professional		$30.20	$38.02	$75.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $33.88 / $42.66	Facility		$30.20	$33.88	$42.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.90 / $89.13	Professional		$29.51	$38.90	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $74.13 / $398.11	Professional		$42.66	$74.13	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $43.65 / $91.20	Facility		$34.67	$43.65	$91.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $52.48	Professional		$34.67	$34.67	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $204.17 / $204.17	Facility		$79.43	$204.17	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $37.15 / $83.18	Professional		$33.11	$37.15	$83.18