Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Facility		$3.02	$3.02	$3.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $21.88 / $54.95	Facility		$17.38	$21.88	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $27.54	Professional		$22.91	$22.91	$27.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $8.51	Professional		$8.51	$8.51	$8.51
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 $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.24 / $6.31	Facility		$3.02	$3.24	$6.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $8.51	Professional		$8.51	$8.51	$8.51
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $47.86 / $47.86	Professional		$45.71	$47.86	$47.86