Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.05 / $57.96 / $63.76	Facility		$24.05	$57.96	$63.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $24.05 / $28.86	Professional		$20.00	$24.05	$28.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.24 / $40.01 / $89.69	Facility		$11.24	$40.01	$89.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $10.18 / $24.15	Professional		$9.61	$10.18	$24.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $24.63 / $24.63 / $33.10	Facility		$24.63	$24.63	$33.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $24.63 / $24.63	Professional		$24.63	$24.63	$24.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.63 / $24.63 / $24.63	Facility		$24.63	$24.63	$24.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $24.63 / $24.63	Professional		$24.63	$24.63	$24.63
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 / $113.90 / $125.25	Facility		$80.00	$113.90	$125.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.63 / $24.63 / $34.39	Facility		$24.63	$24.63	$34.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $24.63 / $24.63	Professional		$24.63	$24.63	$24.63
United Facility/Professional Facility Modifier Low / Median / High Price $25.05 / $25.05 / $25.05	Facility		$25.05	$25.05	$25.05
United Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $58.68 / $58.68	Professional		$31.89	$58.68	$58.68