Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.77 / $10.77 / $28.53	Facility		$10.77	$10.77	$28.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $10.77 / $12.92	Professional		$10.38	$10.77	$12.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.79 / $16.79 / $16.79	Facility		$16.79	$16.79	$16.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $11.02 / $20.77	Professional		$8.19	$11.02	$20.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $8.52 / $20.71	Professional		$8.35	$8.52	$20.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.19 / $8.19 / $85.00	Facility		$8.19	$8.19	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $8.19 / $9.27	Professional		$8.19	$8.19	$9.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.77 / $638.07 / $801.00	Professional		$257.77	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $90.00 / $100.00	Facility		$85.00	$90.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,848.51 / $1,848.51 / $1,848.51	Professional		$1,848.51	$1,848.51	$1,848.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $17.81 / $60.00	Professional		$8.69	$17.81	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.77 / $12.97 / $12.97	Facility		$10.77	$12.97	$12.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $8.19 / $12.97	Professional		$8.19	$8.19	$12.97
United Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $12.97 / $16.00	Professional		$12.97	$12.97	$16.00