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 $122.80 / $146.21 / $247.38	Facility		$122.80	$146.21	$247.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $168.00 / $2,450.00	Professional		$125.00	$168.00	$2,450.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $146.63 / $239.69	Professional		$104.60	$146.63	$239.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.48 / $196.48 / $196.48	Professional		$196.48	$196.48	$196.48
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 / $748.30	Facility		$100.00	$100.00	$748.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $217.79 / $280.02 / $280.02	Professional		$217.79	$280.02	$280.02
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 $196.48 / $196.48 / $196.48	Professional		$196.48	$196.48	$196.48