Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Facility		$15.00	$15.00	$15.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Professional		$15.00	$15.00	$15.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $1.30 / $1.30	Professional		$1.30	$1.30	$1.30
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 Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $1.68 / $1.68	Professional		$1.68	$1.68	$1.68
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 $90.00 / $100.00 / $100.00	Facility		$90.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $18.00 / $18.00	Professional		$18.00	$18.00	$18.00
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 $15.00 / $15.00 / $21.54	Facility		$15.00	$15.00	$21.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $1.68 / $13.00	Professional		$1.68	$1.68	$13.00