Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $2.50 / $2.50	Facility		$2.50	$2.50	$2.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $2.50 / $3.67	Professional		$2.50	$2.50	$3.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.17 / $0.28	Facility		$0.15	$0.17	$0.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.20 / $0.23	Professional		$0.20	$0.20	$0.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $39.10 / $63.92	Professional		$27.89	$39.10	$63.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $393.93 / $801.00	Professional		$127.00	$393.93	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $90.00 / $100.00	Facility		$80.00	$90.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $15.90 / $16.53	Professional		$15.90	$15.90	$16.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $2.50 / $5.60	Facility		$2.50	$2.50	$5.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.16 / $23.16 / $23.16	Professional		$23.16	$23.16	$23.16