Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.70 / $119.70 / $119.70	Professional		$119.70	$119.70	$119.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $15.00 / $15.00	Facility		$13.54	$15.00	$15.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.80 / $150.00 / $150.00	Professional		$52.80	$150.00	$150.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.50 / $94.50 / $94.50	Facility		$94.50	$94.50	$94.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $94.50 / $150.55	Professional		$80.33	$94.50	$150.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $638.07 / $801.00	Professional		$638.07	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $106.04 / $134.96	Facility		$65.00	$106.04	$134.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.50 / $119.70 / $128.00	Facility		$94.50	$119.70	$128.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $94.50 / $150.55	Professional		$80.33	$94.50	$150.55