Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.36 / $9.82 / $11.55	Facility		$4.36	$9.82	$11.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $4.36 / $7.43	Professional		$3.62	$4.36	$7.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.82 / $4.68 / $5.36	Facility		$3.82	$4.68	$5.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $4.46 / $10.65	Professional		$3.73	$4.46	$10.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $9.48 / $9.48 / $9.48	Facility		$9.48	$9.48	$9.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $3.79 / $9.52	Professional		$3.79	$3.79	$9.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $3.49 / $3.49	Facility		$3.49	$3.49	$3.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.49 / $3.49 / $3.49	Professional		$3.49	$3.49	$3.49
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 $7.07 / $100.00 / $100.00	Facility		$7.07	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $3.49 / $6.23	Facility		$3.49	$3.49	$6.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.49 / $3.89 / $9.19	Professional		$3.49	$3.89	$9.19
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $11.18	Professional		$5.25	$5.25	$11.18