Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.18 / $39.18 / $39.18	Facility		$39.18	$39.18	$39.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $39.18 / $40.11	Professional		$37.76	$39.18	$40.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.10 / $46.56 / $78.77	Facility		$39.10	$46.56	$78.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $44.84 / $95.08	Professional		$40.11	$44.84	$95.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Facility		$40.11	$40.11	$40.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Professional		$40.11	$40.11	$40.11
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 / $94.40 / $177.00	Facility		$80.00	$94.40	$177.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $179.36 / $179.36 / $212.40	Professional		$179.36	$179.36	$212.40
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 $39.18 / $47.20 / $47.20	Facility		$39.18	$47.20	$47.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $40.11 / $40.11	Professional		$7.63	$40.11	$40.11
United Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $39.33 / $76.15	Professional		$39.33	$39.33	$76.15