Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.14 / $2.58 / $3.04	Facility		$1.14	$2.58	$3.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.13 / $1.14 / $1.38	Professional		$1.13	$1.14	$1.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.05 / $1.28 / $1.66	Facility		$1.05	$1.28	$1.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.14 / $1.17 / $2.36	Professional		$1.14	$1.17	$2.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $1.24 / $2.06	Facility		$1.17	$1.24	$2.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1.14 / $1.14 / $2.88	Professional		$1.14	$1.14	$2.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $1.17 / $1.17	Facility		$1.17	$1.17	$1.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.17 / $1.17	Professional		$1.17	$1.17	$1.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.00 / $393.93	Professional		$2.00	$3.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $95.00 / $95.00	Facility		$80.00	$95.00	$95.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $1.17 / $1.64	Facility		$1.17	$1.17	$1.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.17 / $1.17	Professional		$1.17	$1.17	$1.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1.14 / $1.50 / $1.96	Professional		$1.14	$1.50	$1.96
United Facility/Professional Professional Modifier Low / Median / High Price $1.14 / $1.14 / $2.96	Professional		$1.14	$1.14	$2.96