Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.53 / $1.53 / $1.53	Facility		$1.53	$1.53	$1.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.53 / $1.53 / $3.08	Professional		$1.53	$1.53	$3.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.56 / $12.58 / $21.28	Facility		$10.56	$12.58	$21.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $12.28 / $17.00	Professional		$10.69	$12.28	$17.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $10.48 / $17.13	Professional		$7.48	$10.48	$17.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $2.12 / $2.12	Professional		$2.12	$2.12	$2.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $20.00 / $638.07	Professional		$18.00	$20.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6.43 / $90.00 / $90.00	Facility		$6.43	$90.00	$90.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $28.28 / $29.40	Professional		$28.27	$28.28	$29.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.84 / $4.99 / $7.42	Facility		$2.84	$4.99	$7.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $2.12 / $2.12	Professional		$2.12	$2.12	$2.12
United Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.17 / $6.76	Professional		$1.99	$2.17	$6.76