Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $514.00 / $514.00 / $514.00	Facility		$514.00	$514.00	$514.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $14.40 / $52.94	Professional		$1.00	$14.40	$52.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $63.56 / $308.00	Facility		$50.00	$63.56	$308.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.71 / $47.11 / $306.61	Professional		$33.71	$47.11	$306.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $898.00 / $1,192.00	Facility		$100.00	$898.00	$1,192.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $28.00 / $41.52	Professional		$10.00	$28.00	$41.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $64.97 / $93.99	Professional		$50.00	$64.97	$93.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $638.07 / $801.00	Professional		$145.00	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $132.00 / $870.00	Facility		$100.00	$132.00	$870.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,335.23 / $9,534.98 / $9,534.98	Professional		$3,335.23	$9,534.98	$9,534.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Facility		$1.00	$1.00	$1.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $64.97 / $93.99	Professional		$50.00	$64.97	$93.99