Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $234.42 / $446.68	Professional		$117.49	$234.42	$446.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $19.95 / $26.30	Professional		$5.01	$19.95	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $162.18	Professional		$45.71	$45.71	$162.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $630.96 / $831.76	Professional		$426.58	$630.96	$831.76
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 $32.36 / $33.11 / $51.29	Professional		$32.36	$33.11	$51.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $239.88 / $446.68	Facility		$117.49	$239.88	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Professional		$60.26	$79.43	$79.43