Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.27 / $8.27 / $8.27	Facility		$8.27	$8.27	$8.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $12.19 / $17.02	Professional		$8.27	$12.19	$17.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.94 / $71.94 / $325.60	Facility		$71.94	$71.94	$325.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.16 / $27.83 / $382.50	Professional		$21.16	$27.83	$382.50
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 $32.45 / $32.45 / $32.45	Facility		$32.45	$32.45	$32.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $14.57 / $14.57	Professional		$14.57	$14.57	$14.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $283.26	Professional		$6.00	$6.00	$283.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $34.06 / $93.80 / $97.23	Facility		$34.06	$93.80	$97.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $139.58 / $145.16 / $149.93	Professional		$139.58	$145.16	$149.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.40 / $70.00 / $85.00	Professional		$49.40	$70.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.96 / $24.34 / $37.97	Facility		$9.96	$24.34	$37.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $14.57 / $49.88	Professional		$14.57	$14.57	$49.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $11.48 / $25.10	Professional		$7.65	$11.48	$25.10