Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.12 / $76.29 / $6,930.00	Facility		$43.12	$76.29	$6,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $3.44 / $76.29	Professional		$3.44	$3.44	$76.29
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 $87.70 / $100.00 / $184.27	Facility		$87.70	$100.00	$184.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.56 / $119.56 / $119.56	Professional		$119.56	$119.56	$119.56
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 / $398.85	Facility		$100.00	$100.00	$398.85
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 $3.44 / $43.12 / $112.20	Facility		$3.44	$43.12	$112.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.56 / $119.56 / $119.56	Professional		$119.56	$119.56	$119.56
United Facility/Professional Facility Modifier Low / Median / High Price $126.83 / $131.51 / $202.18	Facility		$126.83	$131.51	$202.18