Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.95 / $26.93 / $31.68	Facility		$11.95	$26.93	$31.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $11.95 / $20.35	Professional		$9.66	$11.95	$20.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $12.85 / $14.71	Facility		$10.50	$12.85	$14.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $12.24 / $26.65	Professional		$9.51	$12.24	$26.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $10.01 / $13.80 / $20.16	Facility		$10.01	$13.80	$20.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $7.39 / $18.57	Professional		$7.39	$7.39	$18.57
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 $17.98 / $100.00 / $100.00	Facility		$17.98	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.55 / $14.40 / $17.12	Facility		$12.55	$14.40	$17.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $21.41 / $26.64	Professional		$9.90	$21.41	$26.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $15.54 / $20.32	Professional		$11.95	$15.54	$20.32
United Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $14.40 / $29.39	Professional		$14.40	$14.40	$29.39