Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.55 / $127.10 / $202.50	Facility		$15.55	$127.10	$202.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $15.55 / $71.64	Professional		$14.25	$15.55	$71.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.21 / $20.80 / $54.79	Facility		$17.21	$20.80	$54.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $26.46 / $47.06	Professional		$17.42	$26.46	$47.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $24.47 / $58.59	Professional		$21.15	$24.47	$58.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $19.43 / $25.82	Professional		$13.29	$19.43	$25.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $40.00 / $393.93	Professional		$21.00	$40.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $32.49 / $90.00 / $100.00	Facility		$32.49	$90.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.26 / $25.58 / $36.15	Facility		$20.26	$25.58	$36.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $17.09 / $34.15	Professional		$15.77	$17.09	$34.15
United Facility/Professional Professional Modifier Low / Median / High Price $10.15 / $18.89 / $39.75	Professional		$10.15	$18.89	$39.75