Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $12.62 / $12.62	Facility		$12.62	$12.62	$12.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $12.62 / $14.37	Professional		$9.69	$12.62	$14.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.85 / $9.44 / $24.98	Facility		$7.85	$9.44	$24.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $6.36 / $6.36	Professional		$1.09	$6.36	$6.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $24.14 / $31.36 / $48.46	Facility		$24.14	$31.36	$48.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21.90 / $30.78 / $45.17	Professional		$21.90	$30.78	$45.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $14.21 / $17.62	Facility		$14.21	$14.21	$17.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $12.08 / $14.21	Professional		$12.08	$12.08	$14.21
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 / $90.00 / $100.00	Facility		$90.00	$90.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $59.89 / $59.89 / $59.89	Professional		$59.89	$59.89	$59.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.17 / $14.37 / $28.27	Facility		$11.17	$14.37	$28.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $12.08 / $14.21	Professional		$12.08	$12.08	$14.21
United Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $10.19 / $18.11	Professional		$9.46	$10.19	$18.11