Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.17 / $37.17 / $37.17	Facility		$37.17	$37.17	$37.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $37.17 / $37.17	Professional		$29.74	$37.17	$37.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.83 / $304.61 / $515.37	Facility		$255.83	$304.61	$515.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.80 / $350.00 / $350.00	Professional		$94.80	$350.00	$350.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $209.21 / $293.27 / $479.37	Professional		$209.21	$293.27	$479.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.98 / $872.98 / $872.98	Professional		$872.98	$872.98	$872.98
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 $65.00 / $100.00 / $100.00	Facility		$65.00	$100.00	$100.00
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 $29.74 / $37.17 / $83.26	Facility		$29.74	$37.17	$83.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $872.98 / $872.98 / $872.98	Professional		$872.98	$872.98	$872.98