Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.13 / $45.13 / $45.13	Facility		$45.13	$45.13	$45.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.81 / $53.90 / $65.59	Professional		$45.81	$53.90	$65.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.29 / $96.29 / $120.36	Professional		$96.29	$96.29	$120.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $110.00 / $110.00	Professional		$110.00	$110.00	$110.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $135.00	Facility		$135.00	$135.00	$135.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Facility		$25.00	$25.00	$25.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.11 / $60.11 / $60.11	Professional		$60.11	$60.11	$60.11