Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.93 / $5,850.00 / $9,900.00	Facility		$103.93	$5,850.00	$9,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.93 / $137.47 / $718.55	Professional		$103.93	$137.47	$718.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,480.00 / $4,480.00 / $4,480.00	Facility		$4,480.00	$4,480.00	$4,480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $165.00 / $165.00	Professional		$165.00	$165.00	$165.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $638.07 / $801.00	Professional		$129.00	$638.07	$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
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $47.80 / $54.63 / $54.63	Professional		$47.80	$54.63	$54.63
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 $122.70 / $551.21 / $2,929.00	Facility		$122.70	$551.21	$2,929.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $165.00 / $165.00	Professional		$165.00	$165.00	$165.00