Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.58 / $195.58 / $4,171.00	Facility		$195.58	$195.58	$4,171.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.58 / $291.48 / $631.14	Professional		$195.58	$291.48	$631.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,225.00 / $2,827.00 / $17,110.00	Facility		$1,225.00	$2,827.00	$17,110.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.60 / $148.41 / $149.93	Professional		$119.60	$148.41	$149.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $599.22 / $599.22 / $599.22	Facility		$599.22	$599.22	$599.22
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 $884.25 / $1,825.09 / $1,825.09	Professional		$884.25	$1,825.09	$1,825.09
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 $195.58 / $291.48 / $631.14	Facility		$195.58	$291.48	$631.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,400,000.00	$2,400,000.00