Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.59 / $30.61 / $36.01	Facility		$13.59	$30.61	$36.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $13.59 / $23.35	Professional		$11.30	$13.59	$23.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.52 / $15.14 / $19.64	Facility		$12.52	$15.14	$19.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $13.91 / $27.99	Professional		$13.64	$13.91	$27.99
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $14.73 / $23.58	Facility		$13.91	$14.73	$23.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $13.59 / $33.97	Professional		$13.59	$13.59	$33.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $13.91 / $13.91	Facility		$13.91	$13.91	$13.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $13.91 / $13.91	Professional		$13.91	$13.91	$13.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $48.00 / $393.93	Professional		$41.00	$48.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $90.90 / $90.90	Facility		$80.00	$90.90	$90.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $13.91 / $19.43	Facility		$13.91	$13.91	$19.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $13.91 / $13.91	Professional		$13.91	$13.91	$13.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $17.73 / $23.19	Professional		$13.64	$17.73	$23.19
United Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $13.64 / $29.05	Professional		$13.64	$13.64	$29.05