Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $2.00	Facility		$1.00	$1.00	$2.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $3.02	Professional		$1.00	$2.00	$3.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $3.72 / $9.33	Facility		$2.95	$3.72	$9.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.39 / $6.31	Professional		$3.09	$3.39	$6.31
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 $2.75 / $2.75 / $2.75	Professional		$2.75	$2.75	$2.75
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 $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $29.51	Professional		$28.18	$28.18	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $4.68 / $7.24	Facility		$2.34	$4.68	$7.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $2.82 / $2.82	Professional		$2.82	$2.82	$2.82
United Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $2.19 / $4.27	Professional		$1.45	$2.19	$4.27