Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $4.94 / $5.81	Facility		$2.19	$4.94	$5.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.19 / $3.73	Professional		$1.82	$2.19	$3.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.23 / $2.38 / $2.69	Facility		$2.23	$2.38	$2.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $2.24 / $8.66	Professional		$0.03	$2.24	$8.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $5.70 / $5.70 / $5.70	Facility		$5.70	$5.70	$5.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $2.27 / $5.73	Professional		$2.27	$2.27	$5.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.24 / $2.24	Facility		$2.24	$2.24	$2.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $2.24	Professional		$2.24	$2.24	$2.24
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 $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.24 / $3.14	Facility		$2.24	$2.24	$3.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $4.88	Professional		$2.24	$2.24	$4.88
United Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $4.76	Professional		$2.24	$2.24	$4.76