Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $23.17 / $78.09	Professional		$23.17	$23.17	$78.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $157.00 / $157.00	Facility		$157.00	$157.00	$157.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $22.00 / $22.00	Professional		$22.00	$22.00	$22.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $8.00 / $8.64	Professional		$5.60	$8.00	$8.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $105.00 / $105.00	Facility		$105.00	$105.00	$105.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $16.39 / $105.00	Professional		$16.39	$16.39	$105.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $259.00 / $259.00 / $259.00	Professional		$259.00	$259.00	$259.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $80.00 / $100.00	Facility		$65.00	$80.00	$100.00
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 $5.00 / $23.17 / $78.09	Facility		$5.00	$23.17	$78.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $16.39 / $126.00	Professional		$3.13	$16.39	$126.00