Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.84 / $13.16 / $15.49	Facility		$5.84	$13.16	$15.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $5.84 / $9.94	Professional		$4.86	$5.84	$9.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $6.28 / $7.19	Facility		$5.13	$6.28	$7.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $5.98 / $15.92	Professional		$5.98	$5.98	$15.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $15.70 / $15.70 / $15.70	Facility		$15.70	$15.70	$15.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $6.28 / $6.28 / $15.79	Professional		$6.28	$6.28	$15.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Facility		$6.17	$6.17	$6.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Professional		$6.17	$6.17	$6.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $393.93 / $393.93	Professional		$393.93	$393.93	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7.07 / $100.00 / $100.00	Facility		$7.07	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $6.17 / $8.83	Facility		$6.17	$6.17	$8.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $6.17 / $9.19	Professional		$3.89	$6.17	$9.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.02 / $10.49	Professional		$6.17	$8.02	$10.49
United Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $12.93 / $25.25	Professional		$12.20	$12.93	$25.25