Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $717.00	Facility		$93.33	$93.33	$717.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $93.33 / $93.33	Professional		$91.66	$93.33	$93.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.20 / $293.00 / $876.00	Facility		$54.20	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.66 / $358.39 / $674.46	Professional		$210.66	$358.39	$674.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $82.48 / $100.00 / $199.15	Facility		$82.48	$100.00	$199.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $392.00 / $540.00 / $776.00	Professional		$392.00	$540.00	$776.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $543.00 / $543.00 / $543.00	Professional		$543.00	$543.00	$543.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $85.00	Professional		$30.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $93.33 / $151.94	Facility		$91.66	$93.33	$151.94