Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $24.50 / $205.80	Facility		$24.50	$24.50	$205.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $24.50 / $24.50	Professional		$0.79	$24.50	$24.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $12.80 / $70.81	Professional		$1.22	$12.80	$70.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $10.00 / $25.01	Professional		$8.00	$10.00	$25.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Facility		$1.10	$1.10	$1.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Professional		$1.10	$1.10	$1.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
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 $8.66 / $8.66 / $11.33	Professional		$8.66	$8.66	$11.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $512.45	Professional		$85.00	$85.00	$512.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $1.30 / $24.50	Facility		$1.10	$1.30	$24.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Professional		$1.10	$1.10	$1.10
United Facility/Professional Professional Modifier Low / Median / High Price $235.83 / $235.83 / $441.80	Professional		$235.83	$235.83	$441.80