Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $1.38 / $1.38	Facility		$1.38	$1.38	$1.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.38 / $2.78	Professional		$1.38	$1.38	$2.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.43 / $4.09	Facility		$2.04	$2.43	$4.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $2.78 / $3.27	Professional		$2.78	$2.78	$3.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $6.49 / $10.61	Professional		$4.63	$6.49	$10.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $0.75 / $0.75	Professional		$0.75	$0.75	$0.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $638.07	Professional		$3.00	$3.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5.78 / $90.00 / $90.00	Facility		$5.78	$90.00	$90.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24.74 / $25.43 / $25.73	Professional		$24.74	$25.43	$25.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.56 / $4.46 / $6.61	Facility		$2.56	$4.46	$6.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $0.75 / $0.75	Professional		$0.75	$0.75	$0.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $9.25 / $12.02	Professional		$8.55	$9.25	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $1.77 / $1.95 / $6.05	Professional		$1.77	$1.95	$6.05