Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.11 / $9.90 / $10.89	Facility		$4.11	$9.90	$10.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.42 / $4.11 / $4.11	Professional		$3.42	$4.11	$4.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.79 / $4.58 / $5.95	Facility		$3.79	$4.58	$5.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.21 / $8.22	Professional		$4.13	$4.21	$8.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $4.70 / $6.99	Facility		$4.21	$4.70	$6.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4.11 / $4.11 / $10.28	Professional		$4.11	$4.11	$10.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $4.21 / $4.21	Facility		$4.21	$4.21	$4.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.21 / $4.21	Professional		$4.21	$4.21	$4.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $7.00 / $393.93	Professional		$5.00	$7.00	$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 $4.21 / $4.21 / $5.88	Facility		$4.21	$4.21	$5.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.21 / $4.21	Professional		$4.21	$4.21	$4.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $5.37 / $7.02	Professional		$4.13	$5.37	$7.02
United Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.13 / $8.51	Professional		$4.13	$4.13	$8.51