Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $37.15	Professional		$28.84	$28.84	$37.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $331.13 / $831.76	Facility		$263.03	$331.13	$831.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $363.08	Professional		$346.74	$346.74	$363.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $478.63	Professional		$199.53	$281.84	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $138.04 / $630.96	Professional		$125.89	$138.04	$630.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $37.15 / $66.07	Facility		$29.51	$37.15	$66.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96