Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Professional		$1.00	$1.00	$1.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $2.24 / $5.62	Facility		$1.78	$2.24	$5.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $2.34 / $2.82	Professional		$1.29	$2.34	$2.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.75 / $4.68	Professional		$2.00	$2.75	$4.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $1.23	Professional		$1.23	$1.23	$1.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $138.04 / $630.96	Professional		$125.89	$138.04	$630.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $12.88	Professional		$11.22	$11.22	$12.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.89 / $1.82 / $2.88	Facility		$0.89	$1.82	$2.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $1.23	Professional		$1.23	$1.23	$1.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.06 / $0.08	Professional		$0.05	$0.06	$0.08
United Facility/Professional Professional Modifier Low / Median / High Price $0.58 / $0.85 / $1.70	Professional		$0.58	$0.85	$1.70