Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $12.95 / $12.95	Facility		$12.95	$12.95	$12.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $12.95 / $13.26	Professional		$12.48	$12.95	$13.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $14.24 / $541.14	Professional		$12.48	$14.24	$541.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Facility		$13.26	$13.26	$13.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Professional		$13.26	$13.26	$13.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $393.93 / $801.00	Professional		$127.00	$393.93	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $552.50 / $552.50	Facility		$75.00	$552.50	$552.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,391.41 / $1,391.41 / $1,391.41	Professional		$1,391.41	$1,391.41	$1,391.41
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 $13.26 / $15.60 / $21.72	Facility		$13.26	$15.60	$21.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $16.25	Professional		$13.26	$13.26	$16.25
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $24.97	Professional		$13.00	$13.00	$24.97