Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.05 / $231.05 / $7,424.00	Facility		$231.05	$231.05	$7,424.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.05 / $232.96 / $381.33	Professional		$231.05	$232.96	$381.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,225.00 / $2,827.00 / $13,163.00	Facility		$1,225.00	$2,827.00	$13,163.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $94.72 / $95.70	Professional		$76.81	$94.72	$95.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $310.48 / $310.48 / $310.48	Facility		$310.48	$310.48	$310.48
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 $681.46 / $681.46 / $681.46	Professional		$681.46	$681.46	$681.46
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 $231.05 / $232.96 / $442.09	Facility		$231.05	$232.96	$442.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $681.46 / $681.46 / $681.46	Professional		$681.46	$681.46	$681.46