Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Facility		$1.26	$1.26	$1.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Professional		$1.26	$1.26	$1.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.29 / $261.08 / $441.74	Facility		$219.29	$261.08	$441.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.20 / $300.00 / $2,450.00	Professional		$97.20	$300.00	$2,450.00
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 $191.26 / $191.26 / $191.26	Professional		$191.26	$191.26	$191.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $436.00 / $801.00	Professional		$132.00	$436.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $748.60	Facility		$100.00	$100.00	$748.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $251.15 / $322.91 / $322.91	Professional		$251.15	$322.91	$322.91
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 $1.26 / $1.26 / $2.82	Facility		$1.26	$1.26	$2.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $191.26 / $191.26 / $191.26	Professional		$191.26	$191.26	$191.26