Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.50 / $20.00 / $20.00	Facility		$17.50	$20.00	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $138.40	Professional		$20.00	$20.00	$138.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.16 / $51.98 / $137.43	Facility		$43.16	$51.98	$137.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.80 / $57.50	Professional		$30.00	$55.80	$57.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $69.40 / $97.54 / $143.13	Professional		$69.40	$97.54	$143.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $117.89 / $117.89	Professional		$34.22	$117.89	$117.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $78.00 / $393.93	Professional		$59.00	$78.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $100.00	Facility		$90.00	$90.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $77.04 / $77.04	Professional		$77.04	$77.04	$77.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $85.00	Professional		$70.00	$70.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $21.00	Facility		$20.00	$20.00	$21.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.89 / $117.89 / $117.89	Professional		$117.89	$117.89	$117.89
United Facility/Professional Professional Modifier Low / Median / High Price $51.76 / $51.76 / $51.76	Professional		$51.76	$51.76	$51.76