Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.65 / $58.69 / $62.71	Facility		$23.65	$58.69	$62.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $23.65 / $24.22	Professional		$22.79	$23.65	$24.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $3.52 / $5.95	Facility		$2.95	$3.52	$5.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.92 / $4.04 / $24.65	Professional		$3.92	$4.04	$24.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $10.56 / $17.26	Professional		$7.53	$10.56	$17.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $4.04 / $4.04	Professional		$4.04	$4.04	$4.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $638.07	Professional		$6.00	$6.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $100.00 / $103.73	Facility		$80.00	$100.00	$103.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $103.73 / $105.11 / $124.47	Professional		$103.73	$105.11	$124.47
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 $23.65 / $28.49 / $28.49	Facility		$23.65	$28.49	$28.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $4.04 / $28.81	Professional		$4.04	$4.04	$28.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $6.27 / $6.27 / $8.15	Professional		$6.27	$6.27	$8.15
United Facility/Professional Professional Modifier Low / Median / High Price $41.47 / $41.47 / $41.47	Professional		$41.47	$41.47	$41.47