Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.92 / $18.92 / $18.92	Facility		$18.92	$18.92	$18.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $18.92 / $19.38	Professional		$18.23	$18.92	$19.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $22.49 / $38.04	Facility		$18.89	$22.49	$38.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $20.34 / $36.43	Professional		$19.38	$20.34	$36.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $97.51	Professional		$40.00	$40.00	$97.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Facility		$19.38	$19.38	$19.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Professional		$19.38	$19.38	$19.38
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 $80.00 / $100.00 / $100.00	Facility		$80.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $86.64 / $86.64 / $102.60	Professional		$86.64	$86.64	$102.60
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 $18.47 / $19.38 / $41.37	Facility		$18.47	$19.38	$41.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Professional		$19.38	$19.38	$19.38
United Facility/Professional Professional Modifier Low / Median / High Price $73.87 / $73.87 / $73.87	Professional		$73.87	$73.87	$73.87