Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.13 / $21.13 / $5,217.10	Facility		$21.13	$21.13	$5,217.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $10.92 / $21.13	Professional		$6.24	$10.92	$21.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.04 / $40.58 / $84.88	Facility		$26.04	$40.58	$84.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $11.54 / $349.20	Professional		$0.70	$11.54	$349.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $21.19 / $40.65	Facility		$14.37	$21.19	$40.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $11.48 / $28.71	Professional		$10.33	$11.48	$28.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $9.35 / $9.35	Facility		$9.35	$9.35	$9.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $9.35 / $9.35	Professional		$9.35	$9.35	$9.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $638.07 / $801.00	Professional		$283.26	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $21.85 / $104.40 / $104.40	Facility		$21.85	$104.40	$104.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $73.77 / $73.77 / $96.15	Professional		$73.77	$73.77	$96.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.16 / $60.00 / $85.00	Professional		$7.16	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $15.76 / $22.63	Facility		$9.00	$15.76	$22.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $9.35 / $9.35	Professional		$9.35	$9.35	$9.35
United Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $7.36 / $16.48	Professional		$5.77	$7.36	$16.48