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 / $24.46	Professional		$8.00	$8.00	$24.46
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 $20.00 / $22.35 / $24.80	Professional		$20.00	$22.35	$24.80
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 $58.98 / $58.98 / $127.00	Professional		$58.98	$58.98	$127.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $296.00 / $296.00 / $296.00	Professional		$296.00	$296.00	$296.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $117.55 / $117.55 / $117.55	Facility		$117.55	$117.55	$117.55
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 / $58.98 / $152.00	Professional		$8.00	$58.98	$152.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $19.60 / $29.40	Professional		$19.60	$19.60	$29.40