Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $16.30 / $16.30	Facility		$16.30	$16.30	$16.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $16.30 / $27.76	Professional		$16.30	$16.30	$27.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.73 / $15.58 / $17.84	Facility		$12.73	$15.58	$17.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $16.34 / $35.17	Professional		$14.84	$16.34	$35.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $14.65 / $16.38 / $27.96	Facility		$14.65	$16.38	$27.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $17.23 / $43.11	Professional		$17.23	$17.23	$43.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.99 / $13.99 / $13.99	Facility		$13.99	$13.99	$13.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $13.99 / $13.99	Professional		$13.99	$13.99	$13.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $29.00 / $393.93	Professional		$29.00	$29.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $26.19 / $100.00 / $100.00	Facility		$26.19	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.99 / $13.99 / $23.31	Facility		$13.99	$13.99	$23.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $13.99 / $15.06	Professional		$13.79	$13.99	$15.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $33.86 / $44.29	Professional		$26.05	$33.86	$44.29
United Facility/Professional Facility Modifier Low / Median / High Price $33.89 / $35.72 / $35.72	Facility		$33.89	$35.72	$35.72
United Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $15.12 / $27.11	Professional		$13.38	$15.12	$27.11