Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.75 / $4.75 / $4.75	Facility		$4.75	$4.75	$4.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $4.75 / $4.75	Professional		$2.86	$4.75	$4.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.60 / $0.72 / $1.22	Facility		$0.60	$0.72	$1.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $0.83 / $0.98	Professional		$0.83	$0.83	$0.98
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 $2.98 / $2.98 / $2.98	Professional		$2.98	$2.98	$2.98
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 $80.00 / $100.00 / $100.00	Facility		$80.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $11.23 / $11.23	Professional		$11.23	$11.23	$11.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.04 / $4.75 / $10.64	Facility		$4.04	$4.75	$10.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $2.98 / $2.98	Professional		$2.98	$2.98	$2.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $8.38 / $17.11	Professional		$3.20	$8.38	$17.11