Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.79 / $497.49 / $1,027.50	Facility		$258.79	$497.49	$1,027.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.52 / $226.22 / $1,026.43	Professional		$79.52	$226.22	$1,026.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $357.85 / $843.77	Facility		$97.00	$357.85	$843.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.00 / $348.00 / $348.00	Professional		$348.00	$348.00	$348.00
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 $100.00 / $100.00 / $1,711.95	Facility		$100.00	$100.00	$1,711.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $545.45 / $545.45 / $545.45	Professional		$545.45	$545.45	$545.45
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 $226.22 / $370.07 / $1,357.40	Facility		$226.22	$370.07	$1,357.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $348.00 / $348.00 / $348.00	Professional		$348.00	$348.00	$348.00