Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.42 / $468.35 / $2,340.00	Facility		$92.42	$468.35	$2,340.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.49 / $135.00 / $828.00	Professional		$108.49	$135.00	$828.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.27 / $101.00 / $200.00	Professional		$83.27	$101.00	$200.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $20.00 / $50.01	Professional		$16.00	$20.00	$50.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.90 / $119.90 / $119.90	Professional		$119.90	$119.90	$119.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $217.00 / $393.93	Professional		$208.00	$217.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $100.00 / $208.00	Facility		$80.00	$100.00	$208.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.02 / $121.71 / $174.33	Facility		$95.02	$121.71	$174.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.90 / $119.90 / $119.90	Professional		$119.90	$119.90	$119.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $12.50 / $12.50	Professional		$12.50	$12.50	$12.50