Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $4.13 / $4.13	Facility		$4.13	$4.13	$4.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.30 / $7.59	Professional		$4.13	$4.30	$7.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.73 / $58.02 / $98.17	Facility		$48.73	$58.02	$98.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.53 / $7.00 / $9.13	Professional		$6.53	$7.00	$9.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $27.43 / $44.84	Professional		$19.57	$27.43	$44.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $7.15 / $7.15	Professional		$7.15	$7.15	$7.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $60.00 / $638.07	Professional		$55.00	$60.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16.70 / $90.00 / $90.00	Facility		$16.70	$90.00	$90.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $68.90 / $71.66 / $73.58	Professional		$68.90	$71.66	$73.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.39 / $13.05 / $19.09	Facility		$7.39	$13.05	$19.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $7.15 / $7.15	Professional		$7.15	$7.15	$7.15
United Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.63 / $17.50	Professional		$5.09	$5.63	$17.50