Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $42.00 / $42.00	Facility		$42.00	$42.00	$42.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $30.54 / $42.00	Professional		$17.87	$30.54	$42.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $17.75 / $24.83	Professional		$12.75	$17.75	$24.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.94 / $150.94 / $150.94	Professional		$150.94	$150.94	$150.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $638.07 / $801.00	Professional		$638.07	$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 $32.34 / $46.18 / $85.00	Professional		$32.34	$46.18	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $42.00 / $54.60	Facility		$30.54	$42.00	$54.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.94 / $150.94 / $150.94	Professional		$150.94	$150.94	$150.94