Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Facility		$2.02	$2.02	$2.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.63 / $85.29 / $144.30	Facility		$71.63	$85.29	$144.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $98.00 / $98.00	Professional		$46.00	$98.00	$98.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $139.47 / $195.52 / $319.58	Professional		$139.47	$195.52	$319.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.87 / $93.87 / $93.87	Professional		$93.87	$93.87	$93.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $243.00 / $801.00	Professional		$132.00	$243.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $174.25	Facility		$100.00	$100.00	$174.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $84.72 / $108.93 / $108.93	Professional		$84.72	$108.93	$108.93
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 $2.02 / $2.02 / $4.55	Facility		$2.02	$2.02	$4.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.87 / $93.87 / $93.87	Professional		$93.87	$93.87	$93.87