Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.78 / $28.80 / $33.88	Facility		$12.78	$28.80	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $12.78 / $21.76	Professional		$10.63	$12.78	$21.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $13.74 / $15.73	Facility		$11.22	$13.74	$15.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $13.09 / $27.75	Professional		$10.76	$13.09	$27.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $22.80 / $22.80 / $22.80	Facility		$22.80	$22.80	$22.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $9.11 / $22.93	Professional		$9.11	$9.11	$22.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.94 / $8.94 / $8.94	Facility		$8.94	$8.94	$8.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $8.94 / $8.94	Professional		$8.94	$8.94	$8.94
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 $21.85 / $100.00 / $100.00	Facility		$21.85	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.94 / $8.94 / $18.28	Facility		$8.94	$8.94	$18.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $12.02 / $28.40	Professional		$8.94	$12.02	$28.40
United Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $15.40 / $31.65	Professional		$15.40	$15.40	$31.65