Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $97.00	Professional		$80.00	$80.00	$97.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.12 / $32.67 / $86.37	Facility		$27.12	$32.67	$86.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.70 / $37.70 / $37.70	Professional		$37.70	$37.70	$37.70
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 $94.60 / $94.60 / $94.60	Facility		$94.60	$94.60	$94.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $69.06 / $94.60	Professional		$69.06	$69.06	$94.60
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 $65.00 / $100.00 / $100.00	Facility		$65.00	$100.00	$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 $80.00 / $94.60 / $97.00	Facility		$80.00	$94.60	$97.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $69.06 / $94.60	Professional		$69.06	$69.06	$94.60