Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Facility		$75.00	$75.00	$75.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.69 / $162.75 / $275.35	Facility		$136.69	$162.75	$275.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $187.00 / $187.00	Professional		$48.00	$187.00	$187.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $118.55 / $166.19 / $271.64	Professional		$118.55	$166.19	$271.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.27 / $98.27 / $98.27	Professional		$98.27	$98.27	$98.27
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 / $146.57	Facility		$100.00	$100.00	$146.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $146.57 / $188.44 / $188.44	Professional		$146.57	$188.44	$188.44
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 $75.00 / $75.00 / $168.00	Facility		$75.00	$75.00	$168.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.27 / $98.27 / $98.27	Professional		$98.27	$98.27	$98.27