Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $85.40 / $806.79	Facility		$18.28	$85.40	$806.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.02 / $147.19 / $147.19	Professional		$23.02	$147.19	$147.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.72 / $53.05 / $60.10	Facility		$49.72	$53.05	$60.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.50 / $30.50 / $316,999.96	Professional		$30.50	$30.50	$316,999.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $27.00 / $67.51	Professional		$21.60	$27.00	$67.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $28.35 / $28.35	Professional		$28.35	$28.35	$28.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $100.00 / $100.00	Facility		$80.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.66 / $13.81 / $15.77	Facility		$12.66	$13.81	$15.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.51 / $28.35 / $28.35	Professional		$11.51	$28.35	$28.35
United Facility/Professional Professional Modifier Low / Median / High Price $15.54 / $15.54 / $15.54	Professional		$15.54	$15.54	$15.54