Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $60.26 / $69.18	Professional		$40.74	$60.26	$69.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $61.66 / $69.18	Facility		$50.12	$61.66	$69.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $263.03	Professional		$89.13	$120.23	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $398.11 / $831.76	Professional		$128.82	$398.11	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $100.00 / $100.00	Facility		$95.50	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $162.18	Professional		$128.82	$162.18	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $60.26	Professional		$32.36	$33.11	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $5.89 / $239.88	Facility		$5.89	$5.89	$239.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $120.23	Professional		$60.26	$79.43	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67