Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.55 / $69.31 / $183.24	Facility		$57.55	$69.31	$183.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $28.80	Professional		$10.00	$10.00	$28.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $17.01 / $24.97	Professional		$12.11	$17.01	$24.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $19.32	Professional		$19.32	$19.32	$19.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $100.00	Facility		$90.00	$90.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $69.75 / $69.75 / $69.75	Professional		$69.75	$69.75	$69.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $85.00	Professional		$70.00	$70.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $31.50	Facility		$30.00	$30.00	$31.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $19.32	Professional		$19.32	$19.32	$19.32