Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $204.17 / $512.86	Facility		$162.18	$204.17	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $218.78	Professional		$162.18	$218.78	$218.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $316.23	Professional		$134.90	$186.21	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $257.04 / $630.96	Professional		$125.89	$257.04	$630.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $109.65	Professional		$87.10	$87.10	$109.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $42.66 / $85.11	Facility		$39.81	$42.66	$85.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25