Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $1.53 / $1.53	Facility		$0.15	$1.53	$1.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.53 / $1.53 / $2.88	Professional		$1.53	$1.53	$2.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.64 / $3.14 / $5.32	Facility		$2.64	$3.14	$5.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $3.07 / $3.99	Professional		$0.13	$3.07	$3.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $1.30 / $2.47	Professional		$1.30	$1.30	$2.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $6.00 / $638.07	Professional		$5.00	$6.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $26.50 / $27.56	Professional		$14.00	$26.50	$27.56
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 $2.54 / $4.57 / $6.69	Facility		$2.54	$4.57	$6.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $2.47 / $2.47	Professional		$1.30	$2.47	$2.47
United Facility/Professional Professional Modifier Low / Median / High Price $1.77 / $1.95 / $4.63	Professional		$1.77	$1.95	$4.63