Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $64.83 / $168.41	Facility		$30.00	$64.83	$168.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $30.00 / $36.00	Professional		$28.91	$30.00	$36.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.65 / $33.76 / $43.20	Facility		$27.65	$33.76	$43.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $30.72 / $42.93	Professional		$9.16	$30.72	$42.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $27.47 / $30.72 / $52.04	Facility		$27.47	$30.72	$52.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $66.84	Professional		$30.00	$30.00	$66.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $30.72 / $30.72	Facility		$30.72	$30.72	$30.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $30.72 / $30.72	Professional		$30.72	$30.72	$30.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $638.07 / $801.00	Professional		$283.26	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $159.00 / $159.00	Facility		$75.00	$159.00	$159.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $722.89 / $722.89 / $722.89	Professional		$722.89	$722.89	$722.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $60.00 / $85.00	Professional		$7.45	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.81 / $30.72 / $37.58	Facility		$15.81	$30.72	$37.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $30.72 / $37.50	Professional		$30.72	$30.72	$37.50
United Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $48.77	Professional		$30.00	$30.00	$48.77