Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $27.15 / $31.94	Facility		$12.05	$27.15	$31.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $12.05 / $20.52	Professional		$10.02	$12.05	$20.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.57 / $18.73 / $44.62	Facility		$12.57	$18.73	$44.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $12.34 / $24.10	Professional		$12.10	$12.34	$24.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $13.07 / $19.43	Facility		$12.34	$13.07	$19.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $12.05 / $30.13	Professional		$12.05	$12.05	$30.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $12.34 / $12.34	Facility		$12.34	$12.34	$12.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $12.34 / $12.34	Professional		$12.34	$12.34	$12.34
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 $80.00 / $85.00 / $85.00	Facility		$80.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $12.34 / $17.23	Facility		$12.34	$12.34	$17.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $12.34 / $12.34	Professional		$12.34	$12.34	$12.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $15.73 / $20.57	Professional		$12.10	$15.73	$20.57
United Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $30.87 / $30.87	Facility		$29.29	$30.87	$30.87
United Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $12.10 / $25.77	Professional		$12.10	$12.10	$25.77