Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.71 / $349.71 / $3,972.00	Facility		$349.71	$349.71	$3,972.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.17 / $128.13 / $349.71	Professional		$114.17	$128.13	$349.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,225.00 / $2,827.00 / $3,290.00	Facility		$1,225.00	$2,827.00	$3,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.70 / $37.81 / $44.10	Professional		$26.70	$37.81	$44.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $127.06 / $127.06 / $127.06	Facility		$127.06	$127.06	$127.06
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 $36.70 / $36.70 / $36.70	Professional		$36.70	$36.70	$36.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $165.00 / $393.93	Professional		$116.00	$165.00	$393.93
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 $127.22 / $127.22 / $440.63	Facility		$127.22	$127.22	$440.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.70 / $36.70 / $36.70	Professional		$36.70	$36.70	$36.70