Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.54 / $20.54 / $20.54	Facility		$20.54	$20.54	$20.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.54 / $30.19 / $42.74	Professional		$20.54	$30.19	$42.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $116,039.99 / $116,039.99 / $525,159.94	Facility		$116,039.99	$116,039.99	$525,159.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $37.50 / $44.81	Professional		$20.00	$37.50	$44.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.29 / $118.29 / $118.29	Facility		$118.29	$118.29	$118.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $36.29 / $36.29	Professional		$36.29	$36.29	$36.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.77 / $638.07 / $801.00	Professional		$257.77	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $84.83 / $233.65 / $242.16	Facility		$84.83	$233.65	$242.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $344.54 / $358.32 / $373.43	Professional		$344.54	$358.32	$373.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $70.00 / $85.00	Professional		$60.00	$70.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.80 / $60.61 / $95.20	Facility		$24.80	$60.61	$95.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $36.29 / $93.71	Professional		$36.29	$36.29	$93.71
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.58 / $58.18	Professional		$19.05	$28.58	$58.18