Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.41 / $791.41 / $791.41	Facility		$791.41	$791.41	$791.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.41 / $791.41 / $791.41	Professional		$791.41	$791.41	$791.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.00 / $486.00 / $876.00	Facility		$203.00	$486.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.01 / $8.01 / $8.01	Professional		$8.01	$8.01	$8.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $957.61 / $2,122.28	Facility		$97.00	$957.61	$2,122.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.26 / $271.26 / $271.26	Professional		$271.26	$271.26	$271.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $100.00 / $100.00	Facility		$80.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $85.00	Professional		$30.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $791.41 / $791.41 / $1,183.95	Facility		$791.41	$791.41	$1,183.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $271.26 / $271.26 / $271.26	Professional		$271.26	$271.26	$271.26