Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.40 / $54.98 / $64.68	Facility		$24.40	$54.98	$64.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $24.40 / $31.71	Professional		$24.39	$24.40	$31.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.43 / $26.24 / $30.04	Facility		$21.43	$26.24	$30.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.99 / $59.23	Professional		$24.50	$24.99	$59.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $62.40 / $62.40 / $62.40	Facility		$62.40	$62.40	$62.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $24.96 / $24.96 / $62.75	Professional		$24.96	$24.96	$62.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $24.50 / $24.50	Facility		$24.50	$24.50	$24.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $24.50	Professional		$24.50	$24.50	$24.50
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 $24.50 / $24.50 / $34.89	Facility		$24.50	$24.50	$34.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $54.39	Professional		$24.50	$24.50	$54.39
United Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $29.40 / $59.95	Professional		$29.40	$29.40	$59.95