Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $27.15 / $31.94	Facility		$12.05	$27.15	$31.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $12.05 / $20.52	Professional		$10.02	$12.05	$20.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.45 / $15.25 / $17.45	Facility		$12.45	$15.25	$17.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $14.52 / $80.98	Professional		$14.52	$14.52	$80.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $39.40 / $39.40 / $39.40	Facility		$39.40	$39.40	$39.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $15.76 / $39.61	Professional		$15.76	$15.76	$39.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $14.52 / $14.52	Facility		$14.52	$14.52	$14.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $14.52 / $14.52	Professional		$14.52	$14.52	$14.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $24.00 / $393.93	Professional		$15.00	$24.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $251.95	Facility		$100.00	$100.00	$251.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $14.52 / $20.64	Facility		$14.52	$14.52	$20.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $14.52 / $26.86	Professional		$14.52	$14.52	$26.86
United Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $14.52 / $29.61	Professional		$14.52	$14.52	$29.61