Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.25 / $1.25 / $1.25	Facility		$1.25	$1.25	$1.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.25 / $1.25 / $1.25	Professional		$1.25	$1.25	$1.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Professional		$1.00	$1.00	$1.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $17.00 / $17.00	Professional		$17.00	$17.00	$17.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $283.26	Professional		$2.00	$2.00	$283.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $100.00 / $100.00	Facility		$90.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22.96 / $22.96 / $23.88	Professional		$22.96	$22.96	$23.88
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 $1.25 / $1.25 / $1.79	Facility		$1.25	$1.25	$1.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $17.00 / $17.00	Professional		$17.00	$17.00	$17.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.23 / $2.23 / $2.23	Professional		$2.23	$2.23	$2.23