Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $58.88 / $147.91	Facility		$23.44	$58.88	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $22.91 / $28.18	Professional		$21.88	$22.91	$28.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.80 / $9.55	Facility		$3.02	$3.80	$9.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $24.55	Professional		$4.07	$4.07	$24.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.23 / $17.38	Professional		$7.24	$10.23	$17.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Professional		$4.07	$4.07	$4.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $144.54	Professional		$6.03	$6.03	$144.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $6.46	Professional		$6.46	$6.46	$6.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $28.18 / $38.02	Facility		$22.91	$28.18	$38.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $28.84	Professional		$4.07	$4.07	$28.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.59 / $10.72	Professional		$6.31	$7.59	$10.72
United Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $6.61 / $89.13	Professional		$3.47	$6.61	$89.13