Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.84 / $92.02 / $108.26	Facility		$40.84	$92.02	$108.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $40.84 / $41.83	Professional		$39.36	$40.84	$41.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.35 / $48.39 / $54.82	Facility		$45.35	$48.39	$54.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $45.61 / $78.76	Professional		$23.14	$45.61	$78.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $79.15 / $100.00	Facility		$64.40	$79.15	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $87.94 / $87.94 / $125.76	Professional		$87.94	$87.94	$125.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.86 / $25.72 / $25.72	Facility		$21.86	$25.72	$25.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $25.72 / $26.63	Professional		$21.86	$25.72	$26.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $95.00 / $100.00	Facility		$95.00	$95.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.72 / $41.83 / $60.59	Facility		$25.72	$41.83	$60.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $25.72 / $41.83	Professional		$21.86	$25.72	$41.83
United Facility/Professional Professional Modifier Low / Median / High Price $60.72 / $71.44 / $99.30	Professional		$60.72	$71.44	$99.30