Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $3.55 / $4.18	Facility		$1.58	$3.55	$4.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.31 / $1.58 / $2.69	Professional		$1.31	$1.58	$2.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.68 / $2.68 / $6.02	Facility		$1.68	$2.68	$6.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.62 / $3.15	Professional		$1.58	$1.62	$3.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1.61 / $1.81 / $3.42	Facility		$1.61	$1.81	$3.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $3.95	Professional		$1.58	$1.58	$3.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $1.62 / $1.62	Facility		$1.62	$1.62	$1.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $1.62	Professional		$1.62	$1.62	$1.62
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 $80.00 / $85.00 / $100.00	Facility		$80.00	$85.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $1.62 / $2.25	Facility		$1.62	$1.62	$2.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $3.52	Professional		$1.62	$1.62	$3.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $2.04 / $2.69	Professional		$1.58	$2.04	$2.69
United Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $3.85	Professional		$1.58	$1.58	$3.85