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 $70.79 / $89.13 / $223.87	Facility		$70.79	$89.13	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $95.50	Professional		$81.28	$95.50	$95.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $46.77 / $79.43	Professional		$33.11	$46.77	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $138.04 / $630.96	Professional		$125.89	$138.04	$630.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.20 / $0.20	Professional		$0.20	$0.20	$0.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $107.15 / $199.53	Facility		$100.00	$107.15	$199.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20