Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.94 / $10.44 / $10.44	Facility		$8.94	$10.44	$10.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $6.40 / $10.44	Professional		$4.54	$6.40	$10.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.92 / $108.29 / $286.31	Facility		$89.92	$108.29	$286.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.97 / $125.00 / $125.00	Professional		$8.97	$125.00	$125.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $25.20 / $36.19	Professional		$17.54	$25.20	$36.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $9.27 / $11.63	Facility		$9.27	$9.27	$11.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $9.56	Professional		$6.77	$6.77	$9.56
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 $65.00 / $90.00 / $90.00	Facility		$65.00	$90.00	$90.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $65.38 / $67.98	Professional		$17.05	$65.38	$67.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.54 / $4.54 / $17.38	Facility		$4.54	$4.54	$17.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $9.27	Professional		$6.77	$6.77	$9.27
United Facility/Professional Professional Modifier Low / Median / High Price $5.53 / $6.02 / $14.79	Professional		$5.53	$6.02	$14.79