Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $10.01 / $12.24	Facility		$4.69	$10.01	$12.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.74 / $214.10	Professional		$4.69	$4.74	$214.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.98 / $7.49 / $16.79	Facility		$4.98	$7.49	$16.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $5.45 / $15.62	Professional		$4.69	$5.45	$15.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $12.85 / $18.39 / $31.16	Facility		$12.85	$18.39	$31.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.78 / $14.40	Professional		$4.78	$4.78	$14.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.43 / $4.43 / $4.69	Facility		$4.43	$4.43	$4.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $4.69	Professional		$4.69	$4.69	$4.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.22 / $5.63 / $10.79	Professional		$4.22	$5.63	$10.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.00 / $85.00	Facility		$75.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.43 / $4.69 / $6.71	Facility		$4.43	$4.69	$6.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $10.14	Professional		$4.69	$4.69	$10.14
United Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $12.60	Professional		$4.69	$4.69	$12.60