Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $157.00 / $157.00	Facility		$157.00	$157.00	$157.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.00 / $157.00 / $157.00	Professional		$157.00	$157.00	$157.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.23 / $10.99 / $18.59	Facility		$9.23	$10.99	$18.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $10.73 / $22.10	Professional		$10.73	$10.73	$22.10
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 $24.99 / $24.99 / $24.99	Professional		$24.99	$24.99	$24.99
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 $80.00 / $100.00 / $100.00	Facility		$80.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $242.05 / $242.05 / $251.73	Professional		$242.05	$242.05	$251.73
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 $157.00 / $157.00 / $351.68	Facility		$157.00	$157.00	$351.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $24.99 / $24.99	Professional		$24.99	$24.99	$24.99