Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.65 / $8,869.75 / $49,772.24	Facility		$34.65	$8,869.75	$49,772.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $34.65 / $2,673.50	Professional		$34.65	$34.65	$2,673.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.26 / $58.02 / $98.17	Facility		$48.26	$58.02	$98.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $14.12 / $99,999.99	Professional		$12.61	$14.12	$99,999.99
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $79.00 / $91.00	Facility		$77.09	$79.00	$91.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.40 / $125.40 / $125.40	Professional		$125.40	$125.40	$125.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $638.07 / $801.00	Professional		$129.00	$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 $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.65 / $38.59 / $86.44	Facility		$34.65	$38.59	$86.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.40 / $125.40 / $125.40	Professional		$125.40	$125.40	$125.40