Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.79 / $24.31 / $28.60	Facility		$10.79	$24.31	$28.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.97 / $10.79 / $18.38	Professional		$8.97	$10.79	$18.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.99 / $11.72 / $13.28	Facility		$10.99	$11.72	$13.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $11.05 / $26.19	Professional		$10.61	$11.05	$26.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $8.50 / $8.50 / $14.40	Facility		$8.50	$8.50	$14.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $8.30 / $20.75	Professional		$8.30	$8.30	$20.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.05 / $11.05 / $11.05	Facility		$11.05	$11.05	$11.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $11.05 / $11.05	Professional		$11.05	$11.05	$11.05
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 $11.05 / $11.05 / $15.43	Facility		$11.05	$11.05	$15.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $11.05 / $24.05	Professional		$11.05	$11.05	$24.05
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $26.51	Professional		$13.00	$13.00	$26.51