Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.96 / $24.72 / $795.90	Facility		$9.96	$24.72	$795.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $9.96 / $18.18	Professional		$8.27	$9.96	$18.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.84 / $44.05 / $98.75	Facility		$10.84	$44.05	$98.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.48 / $84.41	Professional		$10.00	$11.48	$84.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $9.89 / $10.84 / $23.30	Facility		$9.89	$10.84	$23.30
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $9.96 / $28.32	Professional		$9.96	$9.96	$28.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Facility		$10.19	$10.19	$10.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Professional		$10.19	$10.19	$10.19
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 $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $10.19 / $27.49	Facility		$10.19	$10.19	$27.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $22.27 / $52.63	Professional		$10.19	$22.27	$52.63
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $24.66	Professional		$10.00	$10.00	$24.66