Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.44 / $82.68 / $139.88	Facility		$69.44	$82.68	$139.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $95.00 / $95.00	Professional		$43.00	$95.00	$95.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $48.88 / $79.90	Professional		$34.86	$48.88	$79.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.37 / $111.37 / $111.37	Professional		$111.37	$111.37	$111.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $393.93 / $801.00	Professional		$127.00	$393.93	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $102.76	Facility		$100.00	$100.00	$102.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $85.00 / $85.00	Professional		$70.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $224.00	Facility		$100.00	$100.00	$224.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.37 / $111.37 / $111.37	Professional		$111.37	$111.37	$111.37