Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.16 / $13.88 / $16.32	Facility		$6.16	$13.88	$16.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.12 / $6.16 / $10.49	Professional		$5.12	$6.16	$10.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.86 / $4.12 / $4.66	Facility		$3.86	$4.12	$4.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.91 / $3.88 / $9.19	Professional		$0.91	$3.88	$9.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $12.13 / $12.13 / $12.13	Facility		$12.13	$12.13	$12.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $4.84 / $12.19	Professional		$4.84	$4.84	$12.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $4.76 / $4.76	Facility		$4.76	$4.76	$4.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.76 / $4.76	Professional		$4.76	$4.76	$4.76
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 $9.00 / $95.00 / $100.00	Facility		$9.00	$95.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $4.76 / $8.81	Facility		$4.76	$4.76	$8.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.95 / $11.70	Professional		$4.76	$4.95	$11.70
United Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.76 / $11.74	Professional		$4.76	$4.76	$11.74