Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $374.00 / $516.00	Facility		$240.00	$374.00	$516.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.00 / $422.00 / $1,172.00	Facility		$198.00	$422.00	$1,172.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $62.90 / $100.00 / $483.00	Facility		$62.90	$100.00	$483.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $192.00 / $453.00	Facility		$80.00	$192.00	$453.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $55.00 / $300.00	Facility		$23.50	$55.00	$300.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $110.00	Facility		$110.00	$110.00	$110.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $186.00 / $453.00	Facility		$75.00	$186.00	$453.00