Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $22.16 / $78.50	Professional		$22.16	$22.16	$78.50
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 $19.89 / $22.00 / $22.00	Professional		$19.89	$22.00	$22.00
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 Professional Modifier Low / Median / High Price $113.63 / $228.00 / $228.00	Professional		$113.63	$228.00	$228.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $160.00	Professional		$160.00	$160.00	$160.00
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 $8.00 / $22.16 / $78.50	Facility		$8.00	$22.16	$78.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.23 / $228.00 / $228.00	Professional		$5.23	$228.00	$228.00