Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Facility		$45.00	$45.00	$45.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $934.48 / $2,470.69	Facility		$775.91	$934.48	$2,470.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.00 / $1,078.66 / $1,078.66	Professional		$193.00	$1,078.66	$1,078.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,452.60 / $2,041.56 / $2,996.01	Professional		$1,452.60	$2,041.56	$2,996.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.93 / $379.93 / $379.93	Facility		$379.93	$379.93	$379.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.35 / $277.35 / $379.93	Professional		$277.35	$277.35	$379.93
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 $90.00 / $90.00 / $100.00	Facility		$90.00	$90.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $379.93	Facility		$45.00	$45.00	$379.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $277.35 / $277.35 / $379.93	Professional		$277.35	$277.35	$379.93