Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $16.98 / $204.17	Facility		$15.14	$16.98	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $72.44	Professional		$12.88	$15.85	$72.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $22.39 / $56.23	Facility		$17.78	$22.39	$56.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $31.62 / $50.12	Professional		$18.20	$31.62	$50.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.18 / $67.61	Professional		$21.38	$28.18	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $19.50 / $25.70	Professional		$13.18	$19.50	$25.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $52.48 / $398.11	Professional		$19.95	$52.48	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $100.00 / $100.00	Facility		$91.20	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $23.99 / $36.31	Facility		$19.95	$23.99	$36.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.95 / $48.98	Professional		$15.14	$19.95	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $20.42 / $53.70	Professional		$10.72	$20.42	$53.70