Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.38 / $63.32 / $313.50	Facility		$0.38	$63.32	$313.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.37 / $0.52	Professional		$0.30	$0.37	$0.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.96 / $58.02 / $181.73	Facility		$47.96	$58.02	$181.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $0.55 / $1.33	Professional		$0.40	$0.55	$1.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $37.97 / $57.09 / $101.20	Facility		$37.97	$57.09	$101.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $77.25 / $100.00 / $251.40	Professional		$77.25	$100.00	$251.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.37 / $0.37 / $73.28	Facility		$0.37	$0.37	$73.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.55 / $1.12	Professional		$0.36	$0.55	$1.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $638.07 / $801.00	Professional		$283.26	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $0.67 / $350.00 / $350.00	Facility		$0.67	$350.00	$350.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,795.38 / $5,795.38 / $5,795.38	Professional		$5,795.38	$5,795.38	$5,795.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $60.00 / $85.00	Professional		$42.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.35 / $0.46 / $0.62	Facility		$0.35	$0.46	$0.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.56 / $1.03	Professional		$0.35	$0.56	$1.03
United Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $1.71 / $2.06	Professional		$1.71	$1.71	$2.06