Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.66 / $10.51 / $12.36	Facility		$4.66	$10.51	$12.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $4.66 / $7.94	Professional		$3.88	$4.66	$7.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.75 / $5.07 / $5.75	Facility		$4.75	$5.07	$5.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $4.78 / $11.33	Professional		$4.49	$4.78	$11.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $11.43 / $11.43 / $11.43	Facility		$11.43	$11.43	$11.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.57 / $11.49	Professional		$4.57	$4.57	$11.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.49 / $4.49 / $4.49	Facility		$4.49	$4.49	$4.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $4.49 / $4.49	Professional		$4.49	$4.49	$4.49
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 $4.49 / $4.49 / $6.66	Facility		$4.49	$4.49	$6.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $4.49 / $10.40	Professional		$4.49	$4.49	$10.40
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $11.47	Professional		$5.62	$5.62	$11.47