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 / $5.98 / $8.42	Professional		$4.13	$5.98	$8.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.66 / $22.66 / $102.56	Facility		$22.66	$22.66	$102.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $26.04 / $30.64	Professional		$22.13	$26.04	$30.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $26.87 / $45.99	Professional		$17.73	$26.87	$45.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.21 / $12.21 / $12.21	Facility		$12.21	$12.21	$12.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $21.36 / $21.36	Professional		$21.36	$21.36	$21.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $22.00 / $283.26	Professional		$16.00	$22.00	$283.26
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 $70.67 / $73.48 / $73.58	Professional		$70.67	$73.48	$73.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $400.00	Professional		$60.00	$85.00	$400.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.86 / $11.95 / $19.09	Facility		$4.86	$11.95	$19.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $21.36 / $40.54	Professional		$21.36	$21.36	$40.54
United Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $5.63 / $12.08	Professional		$3.75	$5.63	$12.08