Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $32.00 / $32.00	Facility		$32.00	$32.00	$32.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $32.00 / $32.00	Professional		$32.00	$32.00	$32.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $4.84 / $8.19	Facility		$4.05	$4.84	$8.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $5.56 / $6.54	Professional		$5.56	$5.56	$6.54
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 Professional Modifier Low / Median / High Price $17.20 / $17.20 / $17.20	Professional		$17.20	$17.20	$17.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $24.00 / $638.07	Professional		$22.00	$24.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $90.00 / $100.00	Facility		$80.00	$90.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $67.48 / $67.48	Professional		$52.49	$67.48	$67.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $32.00 / $71.68	Facility		$32.00	$32.00	$71.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $17.20 / $17.20	Professional		$17.20	$17.20	$17.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $12.15 / $49.61	Professional		$7.15	$12.15	$49.61