Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $1.75 / $1.75	Facility		$1.75	$1.75	$1.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $1.92	Professional		$1.75	$1.75	$1.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.27 / $0.32 / $0.55	Facility		$0.27	$0.32	$0.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.31 / $0.44	Professional		$0.28	$0.31	$0.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.95 / $19.55 / $31.96	Professional		$13.95	$19.55	$31.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.20 / $0.20	Professional		$0.20	$0.20	$0.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $638.07	Professional		$2.00	$2.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $100.00	Facility		$65.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $85.00 / $85.00	Professional		$70.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $1.75 / $3.92	Facility		$1.75	$1.75	$3.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.20 / $0.20	Professional		$0.20	$0.20	$0.20