Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.92 / $3.48 / $5.89	Facility		$2.92	$3.48	$5.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $3.91 / $6.39	Professional		$2.79	$3.91	$6.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $3.60 / $3.60	Professional		$3.60	$3.60	$3.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $638.07	Professional		$45.00	$50.00	$638.07
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 $51.17 / $51.17 / $51.17	Professional		$51.17	$51.17	$51.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $44.80	Facility		$20.00	$20.00	$44.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $3.60 / $3.60	Professional		$3.60	$3.60	$3.60
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50