Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $112.20	Professional		$95.50	$112.20	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $141.25	Facility		$89.13	$89.13	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $128.82 / $147.91	Professional		$117.49	$128.82	$147.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $831.76	Professional		$630.96	$630.96	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $141.25	Professional		$89.13	$128.82	$141.25