Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.11 / $18.64 / $24.18	Facility		$9.11	$18.64	$24.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $9.11 / $13.19	Professional		$8.78	$9.11	$13.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.41 / $10.26 / $13.19	Facility		$8.41	$10.26	$13.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $9.34 / $18.23	Professional		$9.16	$9.34	$18.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $9.34 / $9.34 / $15.83	Facility		$9.34	$9.34	$15.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $12.23 / $30.74	Professional		$12.23	$12.23	$30.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.34 / $9.34 / $9.34	Facility		$9.34	$9.34	$9.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $9.34 / $9.53	Professional		$9.34	$9.34	$9.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $638.07 / $801.00	Professional		$283.26	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $603.04 / $603.04 / $603.04	Professional		$603.04	$603.04	$603.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $26.07 / $60.00	Professional		$12.72	$26.07	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $9.11 / $12.00	Facility		$4.57	$9.11	$12.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $9.34 / $11.45	Professional		$9.34	$9.34	$11.45
United Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $9.16 / $16.71	Professional		$9.16	$9.16	$16.71