Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.00	Professional		$1.00	$1.00	$2.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $3.47 / $8.71	Facility		$2.75	$3.47	$8.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $3.63 / $3.80	Professional		$2.14	$3.63	$3.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $4.68 / $7.76	Professional		$3.09	$4.68	$7.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.38 / $1.38	Professional		$1.38	$1.38	$1.38
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 $16.98 / $16.98 / $18.20	Professional		$16.98	$16.98	$18.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $2.82 / $4.37	Facility		$1.32	$2.82	$4.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.38 / $1.38	Professional		$1.38	$1.38	$1.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.37 / $0.52	Professional		$0.31	$0.37	$0.52
United Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $1.29 / $2.51	Professional		$0.87	$1.29	$2.51