Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.77 / $20.77 / $20.77	Facility		$20.77	$20.77	$20.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $20.77 / $21.27	Professional		$20.02	$20.77	$21.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.73 / $24.68 / $41.76	Facility		$20.73	$24.68	$41.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $23.77 / $50.41	Professional		$21.27	$23.77	$50.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $87.20 / $100.00 / $1,450.57	Facility		$87.20	$100.00	$1,450.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.27 / $21.27 / $21.27	Facility		$21.27	$21.27	$21.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $21.27 / $21.27	Professional		$21.27	$21.27	$21.27
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 $85.00 / $90.00 / $100.00	Facility		$85.00	$90.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $55.04 / $95.08 / $95.08	Professional		$55.04	$95.08	$95.08
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 $20.77 / $25.02 / $25.02	Facility		$20.77	$25.02	$25.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $21.27 / $21.27	Professional		$21.27	$21.27	$21.27
United Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $41.77	Professional		$21.48	$21.48	$41.77