Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.19 / $44.19 / $44.19	Facility		$44.19	$44.19	$44.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $44.19 / $45.25	Professional		$42.59	$44.19	$45.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $12.79 / $21.64	Facility		$10.64	$12.79	$21.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $13.77 / $42.59	Professional		$11.02	$13.77	$42.59
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 $45.25 / $45.25 / $45.25	Facility		$45.25	$45.25	$45.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Professional		$45.25	$45.25	$45.25
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 $80.00 / $106.48 / $134.93	Facility		$80.00	$106.48	$134.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $136.72 / $202.31 / $212.96	Professional		$136.72	$202.31	$212.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $85.00 / $85.00	Professional		$70.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.19 / $53.24 / $53.24	Facility		$44.19	$53.24	$53.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $45.25 / $45.25	Professional		$37.47	$45.25	$45.25
United Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $44.36 / $91.18	Professional		$44.36	$44.36	$91.18