Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.63 / $37.47 / $44.09	Facility		$16.63	$37.47	$44.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.83 / $16.63 / $28.32	Professional		$13.83	$16.63	$28.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.93 / $18.07 / $20.47	Facility		$16.93	$18.07	$20.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $17.03 / $40.70	Professional		$0.85	$17.03	$40.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $43.28 / $43.28 / $43.28	Facility		$43.28	$43.28	$43.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $17.30 / $43.52	Professional		$17.30	$17.30	$43.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
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 $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $23.82	Facility		$16.98	$16.98	$23.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $37.07	Professional		$16.98	$16.98	$37.07
United Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $20.04 / $41.19	Professional		$20.04	$20.04	$41.19