Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.23 / $82.80	Facility		$1.23	$1.23	$82.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $2.47	Professional		$1.23	$1.23	$2.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.73 / $58.02 / $98.17	Facility		$48.73	$58.02	$98.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $1.09 / $3.64	Professional		$1.09	$1.09	$3.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $7.05 / $9.94	Professional		$4.34	$7.05	$9.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $34.00 / $34.00	Professional		$34.00	$34.00	$34.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $129.00 / $801.00	Professional		$38.00	$129.00	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5.14 / $90.00 / $90.00	Facility		$5.14	$90.00	$90.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22.65 / $22.96 / $23.88	Professional		$22.65	$22.96	$23.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $3.99 / $6.02	Facility		$2.27	$3.99	$6.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $34.00 / $34.00	Professional		$34.00	$34.00	$34.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $1.73 / $5.30	Professional		$1.55	$1.73	$5.30