Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.63 / $46.63 / $62.58	Facility		$46.63	$46.63	$62.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.78 / $46.63 / $62.58	Professional		$27.78	$46.63	$62.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.93 / $1.93 / $35.00	Professional		$1.93	$1.93	$35.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $50.98 / $87.17 / $114.48	Facility		$50.98	$87.17	$114.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $36.96 / $36.96	Professional		$36.96	$36.96	$36.96
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 / $185.20	Facility		$100.00	$100.00	$185.20
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 $27.78 / $59.73 / $89.63	Facility		$27.78	$59.73	$89.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $36.96 / $36.96	Professional		$36.96	$36.96	$36.96