Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.68 / $13.60 / $1,327.50	Facility		$1.68	$13.60	$1,327.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.68 / $1.93	Professional		$1.40	$1.68	$1.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.56 / $1.88 / $2.43	Facility		$1.56	$1.88	$2.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.83 / $4.33	Professional		$1.69	$1.83	$4.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $13.52 / $33.81	Professional		$10.82	$13.52	$33.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.73 / $1.73 / $1.73	Facility		$1.73	$1.73	$1.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $1.73 / $1.73	Professional		$1.73	$1.73	$1.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $10.00 / $25.00	Professional		$7.00	$10.00	$25.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $90.00 / $90.00	Facility		$80.00	$90.00	$90.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $404.61 / $420.79	Professional		$25.50	$404.61	$420.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.68 / $2.02 / $2.61	Facility		$1.68	$2.02	$2.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $1.73 / $1.93	Professional		$1.73	$1.73	$1.93
United Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.69 / $3.47	Professional		$1.69	$1.69	$3.47