Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.97 / $70.00 / $162.85	Facility		$46.97	$70.00	$162.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Professional		$70.00	$70.00	$70.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.73 / $58.02 / $98.17	Facility		$48.73	$58.02	$98.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.98 / $121.98 / $121.98	Professional		$121.98	$121.98	$121.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $71.25 / $71.25 / $71.25	Professional		$71.25	$71.25	$71.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $51.00	Professional		$51.00	$51.00	$51.00
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 $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $156.80	Facility		$70.00	$70.00	$156.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $51.00	Professional		$51.00	$51.00	$51.00