Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.43 / $7.72 / $9.09	Facility		$3.43	$7.72	$9.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.85 / $3.43 / $5.84	Professional		$2.85	$3.43	$5.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $3.72 / $4.22	Facility		$3.49	$3.72	$4.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $3.51 / $8.32	Professional		$3.44	$3.51	$8.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $8.75 / $8.75 / $8.75	Facility		$8.75	$8.75	$8.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.50 / $8.80	Professional		$3.50	$3.50	$8.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.44 / $3.44 / $3.44	Facility		$3.44	$3.44	$3.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $3.44 / $3.44	Professional		$3.44	$3.44	$3.44
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 $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.44 / $3.44 / $4.91	Facility		$3.44	$3.44	$4.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $3.44 / $7.64	Professional		$3.44	$3.44	$7.64
United Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.13 / $8.48	Professional		$4.13	$4.13	$8.48