Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $24.66 / $27.74	Facility		$10.23	$24.66	$27.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.23 / $14.83	Professional		$8.51	$10.23	$14.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.43 / $11.40 / $14.79	Facility		$9.43	$11.40	$14.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.36 / $10.48 / $21.08	Professional		$1.36	$10.48	$21.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $0.39 / $0.39 / $0.66	Facility		$0.39	$0.39	$0.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $25.58	Professional		$10.23	$10.23	$25.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.48 / $10.48 / $10.48	Facility		$10.48	$10.48	$10.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $10.48 / $10.48	Professional		$10.48	$10.48	$10.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.00 / $393.93	Professional		$10.00	$16.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $10.48 / $14.63	Facility		$3.22	$10.48	$14.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $10.48 / $10.48	Professional		$2.47	$10.48	$10.48
United Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $10.27 / $18.28	Professional		$10.27	$10.27	$18.28