Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.60 / $19.37 / $22.79	Facility		$8.60	$19.37	$22.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $8.60 / $14.65	Professional		$7.15	$8.60	$14.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.55 / $9.25 / $10.59	Facility		$7.55	$9.25	$10.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $8.81 / $59.64	Professional		$8.81	$8.81	$59.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $23.33 / $23.33 / $23.33	Facility		$23.33	$23.33	$23.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $23.45	Professional		$9.33	$9.33	$23.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.16 / $9.16 / $9.16	Facility		$9.16	$9.16	$9.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $9.16 / $9.16	Professional		$9.16	$9.16	$9.16
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 / $125.36 / $139.19	Facility		$100.00	$125.36	$139.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.16 / $9.16 / $12.46	Facility		$9.16	$9.16	$12.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $9.16 / $19.17	Professional		$9.16	$9.16	$19.17
United Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $10.36 / $21.15	Professional		$10.36	$10.36	$21.15