Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.00 / $30.85	Professional		$8.00	$8.00	$30.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.17 / $20.17 / $20.17	Facility		$20.17	$20.17	$20.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.10 / $22.35 / $24.80	Professional		$6.10	$22.35	$24.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $12.50 / $13.50	Professional		$8.75	$12.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.75 / $130.13 / $130.13	Professional		$102.75	$130.13	$130.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.00 / $197.00 / $197.00	Professional		$197.00	$197.00	$197.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $126.95 / $126.95 / $126.95	Facility		$126.95	$126.95	$126.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $8.00 / $8.00	Facility		$8.00	$8.00	$8.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $130.13 / $130.13	Professional		$8.00	$130.13	$130.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $24.05 / $24.05 / $36.08	Professional		$24.05	$24.05	$36.08