Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.38 / $163.74 / $307.97	Facility		$35.38	$163.74	$307.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.01 / $81.42 / $106.08	Professional		$74.01	$81.42	$106.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $92.53 / $92.53	Professional		$8.42	$92.53	$92.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $154.56 / $219.09 / $366.94	Facility		$154.56	$219.09	$366.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $87.12 / $87.12	Professional		$87.12	$87.12	$87.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $140.00 / $638.07	Professional		$92.00	$140.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $100.00	Facility		$65.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $85.00	Professional		$60.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.02 / $87.35 / $113.56	Facility		$74.02	$87.35	$113.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $87.12 / $87.12	Professional		$87.12	$87.12	$87.12