Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $400.00 / $400.00	Facility		$400.00	$400.00	$400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.57 / $125.82 / $400.00	Professional		$87.57	$125.82	$400.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.81 / $184.28 / $207.95	Facility		$158.81	$184.28	$207.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $178.84 / $319.54	Professional		$68.44	$178.84	$319.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $285.29 / $606.14	Professional		$12.00	$285.29	$606.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $386.00 / $729.00	Professional		$275.00	$386.00	$729.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $491.00 / $491.00	Facility		$491.00	$491.00	$491.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $547.20 / $614.00 / $614.00	Professional		$547.20	$614.00	$614.00
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 $87.57 / $177.00 / $719.42	Facility		$87.57	$177.00	$719.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $218.46 / $512.00	Professional		$12.00	$218.46	$512.00
United Facility/Professional Professional Modifier Low / Median / High Price $367.00 / $367.00 / $367.00	Professional		$367.00	$367.00	$367.00