Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $30.20 / $75.86	Facility		$12.02	$30.20	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.02 / $16.22	Professional		$10.96	$12.02	$16.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $15.49 / $21.88	Facility		$0.02	$15.49	$21.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $15.14 / $58.88	Professional		$14.45	$15.14	$58.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.42 / $47.86	Professional		$15.85	$20.42	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $30.20 / $57.54	Professional		$18.20	$30.20	$57.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $251.19 / $251.19	Facility		$234.42	$251.19	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $20.42 / $36.31	Facility		$14.45	$20.42	$36.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $17.78	Professional		$14.45	$14.45	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $30.20	Professional		$14.45	$14.45	$30.20