Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.51 / $7.51 / $7.51	Facility		$7.51	$7.51	$7.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $7.51 / $15.11	Professional		$7.51	$7.51	$15.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.50 / $4.17 / $7.05	Facility		$3.50	$4.17	$7.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.78 / $39.89	Professional		$4.78	$4.78	$39.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $35.36 / $57.81	Professional		$25.23	$35.36	$57.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $13.47 / $13.47	Professional		$13.47	$13.47	$13.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $393.93 / $801.00	Professional		$127.00	$393.93	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $157.46	Facility		$75.00	$100.00	$157.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $159.56 / $159.56 / $188.96	Professional		$159.56	$159.56	$188.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $85.00 / $85.00	Professional		$70.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.93 / $24.41 / $35.97	Facility		$13.93	$24.41	$35.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $13.47 / $13.47	Professional		$13.47	$13.47	$13.47
United Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $10.61 / $26.54	Professional		$9.52	$10.61	$26.54