Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.50 / $8.50 / $10.00	Facility		$8.50	$8.50	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.28 / $11.00 / $16.04	Professional		$6.28	$11.00	$16.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.96 / $57.76 / $152.69	Facility		$47.96	$57.76	$152.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,500.00 / $2,500.00	Professional		$2,500.00	$2,500.00	$2,500.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $113.42 / $166.45	Professional		$80.70	$113.42	$166.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Facility		$3.00	$3.00	$3.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.12	Professional		$0.12	$0.12	$0.12
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 $90.00 / $100.00 / $100.00	Facility		$90.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $44.46 / $44.46 / $44.46	Professional		$44.46	$44.46	$44.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Professional		$70.00	$70.00	$70.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.28 / $10.00 / $22.15	Facility		$6.28	$10.00	$22.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.12	Professional		$0.12	$0.12	$0.12
United Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $15.62 / $15.62	Professional		$15.62	$15.62	$15.62