Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Facility		$120.00	$120.00	$120.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.69 / $51.58 / $120.00	Professional		$42.69	$51.58	$120.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.34 / $293.00 / $876.00	Facility		$68.34	$293.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $79.48 / $158.33	Professional		$57.00	$79.48	$158.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $96.22 / $115.93 / $362.51	Facility		$96.22	$115.93	$362.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.00 / $52.21	Professional		$18.20	$26.00	$52.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.80 / $55.80 / $55.80	Facility		$55.80	$55.80	$55.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $66.95 / $118.37	Professional		$49.01	$66.95	$118.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.00 / $218.00 / $432.00	Professional		$146.00	$218.00	$432.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104.11 / $227.07 / $260.11	Facility		$104.11	$227.07	$260.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $293.12 / $293.12 / $418.50	Professional		$293.12	$293.12	$418.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.75 / $65.70 / $120.00	Facility		$45.75	$65.70	$120.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.71 / $66.25 / $118.57	Professional		$47.71	$66.25	$118.57
United Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $51.20 / $104.96	Professional		$37.36	$51.20	$104.96