Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.80 / $2.80 / $2.80	Facility		$2.80	$2.80	$2.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $2.80 / $8.06	Professional		$1.69	$2.80	$8.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.61 / $1.91 / $3.24	Facility		$1.61	$1.91	$3.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $2.20 / $2.59	Professional		$2.20	$2.20	$2.59
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 $1.89 / $1.89 / $1.89	Professional		$1.89	$1.89	$1.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $638.07	Professional		$4.00	$4.00	$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 $5.14 / $5.14 / $5.14	Professional		$5.14	$5.14	$5.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $2.80 / $5.97	Facility		$1.69	$2.80	$5.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $1.89 / $1.89	Professional		$1.89	$1.89	$1.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $2.52 / $3.29	Professional		$2.52	$2.52	$3.29