Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.94 / $14.39 / $238.75	Facility		$8.94	$14.39	$238.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $14.39 / $16.54	Professional		$14.39	$14.39	$16.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.11 / $3.38 / $49.72	Facility		$2.11	$3.38	$49.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.23 / $50.00 / $73.50	Professional		$2.23	$50.00	$73.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.10 / $4.05	Facility		$2.02	$2.10	$4.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.27	Professional		$2.02	$2.02	$2.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.02 / $4.30	Facility		$2.02	$2.02	$4.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
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 $80.00 / $100.00 / $100.00	Facility		$80.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $9.08 / $10.76	Professional		$9.08	$9.08	$10.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $14.39 / $20.66	Facility		$2.02	$14.39	$20.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.49	Professional		$2.02	$2.02	$2.49
United Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $7.74 / $7.74	Professional		$7.74	$7.74	$7.74