Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $56.48 / $56.48	Facility		$30.00	$56.48	$56.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $56.48 / $58.76	Professional		$30.00	$56.48	$58.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.17 / $660.34 / $1,355.42	Facility		$416.17	$660.34	$1,355.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $295.06 / $347.14	Professional		$5.30	$295.06	$347.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $186.10 / $725.87	Facility		$92.60	$186.10	$725.87
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 $3.20 / $3.20 / $3.20	Professional		$3.20	$3.20	$3.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $42.97 / $82.80	Facility		$30.00	$42.97	$82.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.20 / $3.20	Professional		$3.20	$3.20	$3.20
United Facility/Professional Professional Modifier Low / Median / High Price $709.01 / $709.01 / $709.01	Professional		$709.01	$709.01	$709.01