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 $208.32 / $248.04 / $419.66	Facility		$208.32	$248.04	$419.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.19 / $285.00 / $2,450.00	Professional		$151.19	$285.00	$2,450.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $313.81 / $439.92 / $719.06	Professional		$313.81	$439.92	$719.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.58 / $309.58 / $309.58	Professional		$309.58	$309.58	$309.58
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 / $316.79	Facility		$100.00	$100.00	$316.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $316.79 / $407.30 / $407.30	Professional		$316.79	$407.30	$407.30
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 $309.58 / $309.58 / $309.58	Professional		$309.58	$309.58	$309.58