Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $16.22	Facility		$15.85	$15.85	$16.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $16.22 / $38.02	Professional		$15.85	$16.22	$38.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $15.85 / $22.39	Facility		$0.02	$15.85	$22.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $15.49 / $38.90	Professional		$14.79	$15.49	$38.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $16.22 / $25.70	Facility		$14.79	$16.22	$25.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $22.39 / $52.48	Professional		$17.38	$22.39	$52.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $48.98 / $398.11	Professional		$28.84	$48.98	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $21.38 / $29.51	Facility		$14.79	$21.38	$29.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $15.85 / $42.66	Professional		$14.79	$15.85	$42.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.88 / $44.67	Professional		$26.30	$33.88	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $38.02 / $38.02	Facility		$12.02	$38.02	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.14 / $30.20	Professional		$13.49	$15.14	$30.20