Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.77 / $12.04 / $13.52	Facility		$5.77	$12.04	$13.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $5.83 / $10.34	Professional		$5.76	$5.83	$10.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.12 / $9.22 / $20.66	Facility		$6.12	$9.22	$20.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $6.02 / $17.71	Professional		$5.77	$6.02	$17.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $16.28 / $27.58	Facility		$14.52	$16.28	$27.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $5.77 / $16.41	Professional		$5.77	$5.77	$16.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.45 / $5.45 / $5.77	Facility		$5.45	$5.45	$5.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $5.77 / $5.77	Professional		$5.77	$5.77	$5.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.19 / $6.92 / $13.27	Professional		$5.19	$6.92	$13.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $646.52 / $646.52	Facility		$75.00	$646.52	$646.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.45 / $5.77 / $8.25	Facility		$5.45	$5.77	$8.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $5.77 / $12.48	Professional		$5.77	$5.77	$12.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4.62 / $6.35 / $9.81	Professional		$4.62	$6.35	$9.81
United Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $5.77 / $15.50	Professional		$5.77	$5.77	$15.50