Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.11 / $10.85 / $18.36	Facility		$9.11	$10.85	$18.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $12.46 / $14.66	Professional		$12.46	$12.46	$14.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $31.28 / $51.13	Professional		$22.32	$31.28	$51.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $28.91 / $28.91	Professional		$28.91	$28.91	$28.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $35.00 / $638.07	Professional		$31.00	$35.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $100.00 / $100.00	Facility		$80.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $22.50 / $22.50	Professional		$22.50	$22.50	$22.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $44.80	Facility		$20.00	$20.00	$44.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $28.91 / $28.91	Professional		$28.91	$28.91	$28.91