Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.75 / $139.75 / $10,711.44	Facility		$139.75	$139.75	$10,711.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $139.75 / $139.75	Professional		$14.82	$139.75	$139.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $6.68 / $6.68	Professional		$6.68	$6.68	$6.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $123.15 / $222.00	Facility		$95.50	$123.15	$222.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.77 / $130.77 / $130.77	Professional		$130.77	$130.77	$130.77
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 / $418.00	Facility		$100.00	$100.00	$418.00
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 $14.82 / $139.75 / $200.16	Facility		$14.82	$139.75	$200.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.77 / $130.77 / $130.77	Professional		$130.77	$130.77	$130.77