Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $73.33 / $80.83	Professional		$67.15	$73.33	$80.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.15 / $60.00 / $60.00	Facility		$54.15	$60.00	$60.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $35.40 / $47.29	Professional		$8.86	$35.40	$47.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
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 $26.11 / $30.72 / $869.25	Professional		$26.11	$30.72	$869.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.07 / $638.07 / $801.00	Professional		$638.07	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $186.11 / $200.43	Facility		$100.00	$186.11	$200.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $67.15 / $122.24	Facility		$30.72	$67.15	$122.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.11 / $30.72 / $30.72	Professional		$26.11	$30.72	$30.72