Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $10.72 / $12.61	Facility		$4.76	$10.72	$12.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $4.76 / $8.11	Professional		$3.95	$4.76	$8.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.18 / $5.11 / $5.85	Facility		$4.18	$5.11	$5.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $4.87 / $11.54	Professional		$4.87	$4.87	$11.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $4.87 / $4.87 / $8.26	Facility		$4.87	$4.87	$8.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.76 / $11.90	Professional		$4.76	$4.76	$11.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.87 / $4.87 / $4.87	Facility		$4.87	$4.87	$4.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $4.87 / $4.87	Professional		$4.87	$4.87	$4.87
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 / $455.75 / $455.75	Facility		$100.00	$455.75	$455.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.87 / $4.87 / $6.81	Facility		$4.87	$4.87	$6.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $4.87 / $10.60	Professional		$4.87	$4.87	$10.60
United Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $11.61	Professional		$5.73	$5.73	$11.61