Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.67 / $5.67 / $5.67	Facility		$5.67	$5.67	$5.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $5.67 / $11.10	Professional		$5.67	$5.67	$11.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.60 / $63.82 / $107.98	Facility		$53.60	$63.82	$107.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.05 / $13.77	Professional		$5.00	$9.05	$13.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $27.46 / $38.50 / $62.93	Professional		$27.46	$38.50	$62.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $9.90 / $9.90	Professional		$9.90	$9.90	$9.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $30.00 / $638.07	Professional		$27.00	$30.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $23.13 / $90.00 / $90.00	Facility		$23.13	$90.00	$90.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $95.41 / $99.22 / $101.85	Professional		$95.41	$99.22	$101.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $18.07 / $26.60	Facility		$10.23	$18.07	$26.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $9.90 / $9.90	Professional		$9.90	$9.90	$9.90
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.79 / $18.82	Professional		$7.08	$7.79	$18.82