Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $28.35 / $33.35	Facility		$12.58	$28.35	$33.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $12.58 / $21.42	Professional		$10.46	$12.58	$21.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $13.49 / $24.72	Facility		$8.71	$13.49	$24.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $12.89 / $25.17	Professional		$7.13	$12.89	$25.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $12.89 / $13.64 / $24.53	Facility		$12.89	$13.64	$24.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $12.58 / $31.46	Professional		$12.58	$12.58	$31.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.89 / $12.89 / $12.89	Facility		$12.89	$12.89	$12.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $12.89 / $12.89	Professional		$12.89	$12.89	$12.89
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 $12.89 / $12.89 / $17.98	Facility		$12.89	$12.89	$17.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $12.89 / $17.54	Professional		$7.42	$12.89	$17.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $19.50 / $25.50	Professional		$15.00	$19.50	$25.50
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $12.43 / $28.03	Professional		$12.43	$12.43	$28.03