Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $35.15	Facility		$13.26	$13.26	$35.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $13.26 / $13.58	Professional		$12.78	$13.26	$13.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.88 / $18.25 / $20.69	Facility		$17.88	$18.25	$20.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $11.15 / $13.58	Professional		$3.09	$11.15	$13.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.14 / $7.80 / $12.40	Professional		$5.14	$7.80	$12.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $13.58 / $85.00	Facility		$13.58	$13.58	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $13.58 / $13.58	Professional		$13.58	$13.58	$13.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.77 / $638.07 / $801.00	Professional		$257.77	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $55.93 / $60.72 / $71.91	Professional		$55.93	$60.72	$71.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $70.00 / $85.00	Professional		$60.00	$70.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.38 / $12.78 / $15.98	Facility		$4.38	$12.78	$15.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $13.58 / $13.58	Professional		$8.25	$13.58	$13.58
United Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $2.17 / $4.41	Professional		$1.44	$2.17	$4.41