Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.81 / $2.81 / $2.81	Facility		$2.81	$2.81	$2.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $2.81 / $2.81	Professional		$2.81	$2.81	$2.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.71 / $104.44 / $176.70	Facility		$87.71	$104.44	$176.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $124.00 / $124.00	Professional		$56.00	$124.00	$124.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $244.07 / $342.16 / $559.27	Professional		$244.07	$342.16	$559.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $99.00	Professional		$99.00	$99.00	$99.00
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 $80.00 / $100.00 / $100.00	Facility		$80.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $84.25 / $108.32 / $108.32	Professional		$84.25	$108.32	$108.32
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 $2.81 / $2.81 / $6.29	Facility		$2.81	$2.81	$6.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $99.00	Professional		$99.00	$99.00	$99.00