Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.32 / $250.32 / $250.32	Facility		$250.32	$250.32	$250.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.00 / $23.68	Professional		$8.00	$8.00	$23.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.17 / $20.17 / $157.00	Facility		$20.17	$20.17	$157.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $22.35 / $25.17	Professional		$22.00	$22.35	$25.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $12.50 / $13.50	Professional		$8.75	$12.50	$13.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.00 / $127.00 / $127.00	Facility		$127.00	$127.00	$127.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.50 / $75.72 / $88.13	Professional		$70.50	$75.72	$88.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $439.00 / $439.00 / $439.00	Professional		$439.00	$439.00	$439.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $109.00 / $109.00 / $109.00	Facility		$109.00	$109.00	$109.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $8.00 / $8.00	Facility		$8.00	$8.00	$8.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $75.72 / $152.00	Professional		$8.00	$75.72	$152.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $17.84 / $26.76	Professional		$17.84	$17.84	$26.76