Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.56 / $1.27 / $1.50	Facility		$0.56	$1.27	$1.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $0.56 / $0.57	Professional		$0.54	$0.56	$0.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.13 / $0.14	Facility		$0.12	$0.13	$0.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $202.50	Professional		$0.12	$0.12	$202.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1.06 / $1.06 / $1.80	Facility		$1.06	$1.06	$1.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.18	Professional		$0.12	$0.12	$0.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.38 / $0.47	Professional		$0.12	$0.38	$0.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $95.00 / $100.00	Facility		$95.00	$95.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.57 / $0.57 / $0.80	Facility		$0.57	$0.57	$0.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.57 / $1.26	Professional		$0.56	$0.57	$1.26
United Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.32	Professional		$0.12	$0.12	$0.32