Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.73 / $10.66 / $12.54	Facility		$4.73	$10.66	$12.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.93 / $4.73 / $5.68	Professional		$3.93	$4.73	$5.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.49 / $5.50 / $6.30	Facility		$4.49	$5.50	$6.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $5.24 / $15.01	Professional		$5.24	$5.24	$15.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $13.35 / $13.35 / $13.35	Facility		$13.35	$13.35	$13.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $5.34 / $13.42	Professional		$5.34	$5.34	$13.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.24 / $5.24 / $5.24	Facility		$5.24	$5.24	$5.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $5.24 / $5.24	Professional		$5.24	$5.24	$5.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $11.00 / $393.93	Professional		$7.00	$11.00	$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 $5.24 / $5.24 / $6.77	Facility		$5.24	$5.24	$6.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $5.24 / $10.55	Professional		$5.24	$5.24	$10.55
United Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $5.24 / $10.77	Professional		$5.24	$5.24	$10.77