Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $32.36 / $42.66	Professional		$19.95	$32.36	$42.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114,815.36 / $138,038.43 / $588,843.66	Facility		$114,815.36	$138,038.43	$588,843.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $37.15 / $44.67	Professional		$22.91	$37.15	$44.67
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 Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $281.84 / $831.76	Professional		$104.71	$281.84	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $371.54 / $371.54	Professional		$354.81	$371.54	$371.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $57.54 / $91.20	Facility		$27.54	$57.54	$91.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $28.84 / $54.95	Professional		$17.78	$28.84	$54.95