Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $50.12	Professional		$28.18	$28.18	$50.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $23.44 / $58.88	Facility		$18.62	$23.44	$58.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Facility		$12.59	$12.59	$12.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $12.59	Professional		$10.72	$10.72	$12.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $630.96 / $831.76	Professional		$39.81	$630.96	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $37.15 / $70.79	Facility		$28.18	$37.15	$70.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $12.59	Professional		$10.72	$10.72	$12.59
United Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $17.78 / $21.88	Facility		$2.19	$17.78	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.18 / $23.44	Professional		$10.96	$13.18	$23.44