Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.34 / $11.34 / $11.34	Facility		$11.34	$11.34	$11.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $11.34 / $11.34	Professional		$11.34	$11.34	$11.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.00 / $530.00 / $3,398.00	Facility		$217.00	$530.00	$3,398.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $32.25 / $50.04	Professional		$23.88	$32.25	$50.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $49.86 / $61.36 / $137.10	Professional		$49.86	$61.36	$137.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $17.84 / $17.84	Professional		$17.84	$17.84	$17.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.00 / $300.00 / $500.00	Professional		$182.00	$300.00	$500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $229.35	Facility		$100.00	$100.00	$229.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.91 / $16.22 / $82.78	Facility		$11.91	$16.22	$82.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $17.84 / $17.84	Professional		$17.84	$17.84	$17.84
United Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $34.56 / $108.80	Professional		$20.88	$34.56	$108.80