Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.12 / $92.47 / $92.47	Facility		$92.12	$92.47	$92.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.63 / $92.29 / $95.00	Professional		$78.63	$92.29	$95.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $22.59 / $60.16	Facility		$18.89	$22.59	$60.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $21.07 / $35.28	Professional		$13.50	$21.07	$35.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $32.24 / $38.51	Professional		$30.23	$32.24	$38.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.50 / $46.50 / $58.13	Professional		$46.50	$46.50	$58.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.39 / $44.64 / $91.87	Professional		$36.39	$44.64	$91.87
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 $40.44 / $81.19 / $96.90	Facility		$40.44	$81.19	$96.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $40.43 / $46.34	Professional		$40.39	$40.43	$46.34