Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.74 / $40.79 / $104.84	Facility		$13.74	$40.79	$104.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $14.13 / $21.23	Professional		$11.13	$14.13	$21.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.78 / $486.00 / $876.00	Facility		$8.78	$486.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $10.27 / $24.10	Professional		$8.35	$10.27	$24.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $28.81 / $67.30 / $114.98	Facility		$28.81	$67.30	$114.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $13.00 / $28.80	Professional		$9.42	$13.00	$28.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.49 / $1.48 / $60.81	Facility		$0.49	$1.48	$60.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $11.79 / $40.84	Professional		$5.99	$11.79	$40.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $23.00 / $393.93	Professional		$10.00	$23.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $27.64 / $127.61 / $127.61	Facility		$27.64	$127.61	$127.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $125.84 / $125.84 / $125.84	Professional		$125.84	$125.84	$125.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $31.87 / $85.00	Professional		$20.28	$31.87	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $18.23 / $28.91	Facility		$9.77	$18.23	$28.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $11.79 / $42.16	Professional		$5.99	$11.79	$42.16
United Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $8.64 / $37.74	Professional		$4.48	$8.64	$37.74