Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.28 / $74.09 / $78.00	Professional		$59.28	$74.09	$78.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.54 / $56.00 / $56.00	Facility		$50.54	$56.00	$56.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.50 / $560.00 / $560.00	Professional		$55.50	$560.00	$560.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.69 / $526.69 / $526.69	Facility		$526.69	$526.69	$526.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.69 / $447.69 / $526.69	Professional		$447.69	$447.69	$526.69
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 / $80.00 / $100.00	Facility		$65.00	$80.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.28 / $74.09 / $526.69	Facility		$59.28	$74.09	$526.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $447.69 / $526.69 / $542.49	Professional		$447.69	$526.69	$542.49