Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.13 / $13.01 / $70.56	Facility		$12.13	$13.01	$70.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $12.97 / $64.09	Professional		$10.98	$12.97	$64.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,505.00 / $9,119.00	Facility		$1,723.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.46 / $22.85 / $42.90	Professional		$16.46	$22.85	$42.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,117.38	Facility		$66.00	$100.00	$5,117.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $11.04 / $31.39	Professional		$8.15	$11.04	$31.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $16.93 / $62.34	Professional		$12.48	$16.93	$62.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $16.10 / $34.36	Professional		$11.69	$16.10	$34.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $65.06 / $1,300.00	Facility		$55.00	$65.06	$1,300.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $605.00 / $605.00 / $605.00	Professional		$605.00	$605.00	$605.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.13 / $16.39 / $87.45	Facility		$12.13	$16.39	$87.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $16.98 / $60.48	Professional		$12.61	$16.98	$60.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $14.29 / $14.29	Professional		$10.39	$14.29	$14.29
United Facility/Professional Facility Modifier Low / Median / High Price $559.00 / $1,533.00 / $7,317.00	Facility		$559.00	$1,533.00	$7,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.81 / $14.32 / $42.74	Professional		$9.81	$14.32	$42.74