Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $167.49 / $167.49	Facility		$97.00	$167.49	$167.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $155.72 / $232.54	Professional		$88.06	$155.72	$232.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,225.00 / $2,827.00 / $2,827.00	Facility		$1,225.00	$2,827.00	$2,827.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $16.26 / $27.93	Professional		$14.78	$16.26	$27.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $89.57 / $89.57 / $89.57	Facility		$89.57	$89.57	$89.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $43.50 / $43.50	Professional		$43.50	$43.50	$43.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $638.07 / $801.00	Professional		$283.26	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.97 / $232.54 / $251.24	Facility		$104.97	$232.54	$251.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $43.50 / $43.50	Professional		$43.50	$43.50	$43.50