Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.45 / $66.34 / $78.06	Facility		$29.45	$66.34	$78.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.48 / $29.45 / $50.15	Professional		$24.48	$29.45	$50.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.99 / $32.00 / $36.25	Facility		$29.99	$32.00	$36.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $30.16 / $71.48	Professional		$27.07	$30.16	$71.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $76.63 / $76.63 / $76.63	Facility		$76.63	$76.63	$76.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $30.65 / $84.91	Professional		$30.65	$30.65	$84.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.08 / $30.08 / $30.08	Facility		$30.08	$30.08	$30.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $30.08	Professional		$30.08	$30.08	$30.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.08 / $30.08 / $42.18	Facility		$30.08	$30.08	$42.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $65.64	Professional		$30.08	$30.08	$65.64
United Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $64.06	Professional		$30.08	$30.08	$64.06