Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.28 / $35.28 / $35.28	Facility		$35.28	$35.28	$35.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.28 / $36.34 / $70.56	Professional		$35.28	$36.34	$70.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $35.28 / $64.80	Professional		$19.80	$35.28	$64.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $33.70 / $40.02	Professional		$31.60	$33.70	$40.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $14.86 / $48.75	Professional		$14.86	$14.86	$48.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $46.34 / $95.48	Professional		$37.92	$46.34	$95.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $100.00	Facility		$65.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.28 / $39.68 / $50.56	Facility		$35.28	$39.68	$50.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $14.86 / $42.13	Professional		$14.86	$14.86	$42.13