Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $48.00	Facility		$48.00	$48.00	$48.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $48.00 / $52.80	Professional		$17.66	$48.00	$52.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.67 / $65.84 / $174.08	Facility		$54.67	$65.84	$174.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $76.00 / $76.00	Professional		$76.00	$76.00	$76.00
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 Professional Modifier Low / Median / High Price $19.50 / $19.50 / $149.72	Professional		$19.50	$19.50	$149.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $69.00 / $801.00	Professional		$51.00	$69.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.90 / $90.90 / $100.00	Facility		$90.90	$90.90	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $56.12 / $56.12 / $56.12	Professional		$56.12	$56.12	$56.12
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 $17.66 / $23.31 / $48.00	Facility		$17.66	$23.31	$48.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $152.82	Professional		$19.50	$19.50	$152.82