Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $48.98 / $489.78	Facility		$12.88	$48.98	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.88 / $97.72	Professional		$7.94	$12.88	$97.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $25.12 / $63.10	Facility		$19.95	$25.12	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $1.00 / $39.81	Professional		$0.85	$1.00	$39.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $138.04 / $630.96	Professional		$125.89	$138.04	$630.96
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 $18.20 / $18.20 / $23.44	Professional		$18.20	$18.20	$23.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.65 / $100.00	Facility		$0.12	$0.65	$100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Professional		$60.26	$79.43	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $17.78	Professional		$10.00	$14.13	$17.78