Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $19.20 / $19.20	Facility		$19.20	$19.20	$19.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $19.20 / $37.15	Professional		$19.20	$19.20	$37.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $18.50 / $31.30	Facility		$15.54	$18.50	$31.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $18.05 / $25.00	Professional		$5.32	$18.05	$25.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $74.30 / $121.44	Professional		$53.00	$74.30	$121.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $19.36 / $19.36	Professional		$19.36	$19.36	$19.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $39.00 / $638.07	Professional		$35.00	$39.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $100.00	Facility		$65.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $85.00 / $85.00	Professional		$70.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $37.15 / $48.31	Facility		$19.20	$37.15	$48.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $19.36 / $19.36	Professional		$19.36	$19.36	$19.36