Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.99 / $3.99 / $3.99	Facility		$3.99	$3.99	$3.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $5.75 / $8.09	Professional		$3.99	$5.75	$8.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.93 / $42.93 / $194.31	Facility		$42.93	$42.93	$194.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $6.66 / $8.69	Professional		$4.00	$6.66	$8.69
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 Facility Modifier Low / Median / High Price $10.59 / $10.59 / $10.59	Facility		$10.59	$10.59	$10.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $6.87 / $6.87	Professional		$6.87	$6.87	$6.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $19.00 / $283.26	Professional		$18.00	$19.00	$283.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $90.00 / $90.00	Facility		$16.05	$90.00	$90.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $67.14 / $69.81 / $70.73	Professional		$67.14	$69.81	$70.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.14 / $70.00 / $85.00	Professional		$3.14	$70.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.70 / $11.48 / $18.16	Facility		$4.70	$11.48	$18.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $6.87 / $1,800,000.00	Professional		$6.87	$6.87	$1,800,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $5.41 / $11.37	Professional		$3.61	$5.41	$11.37