Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $1.91 / $2.14	Facility		$1.70	$1.91	$2.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $1.95 / $1.95	Professional		$1.91	$1.95	$1.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.87 / $1.00 / $1.29	Facility		$0.87	$1.00	$1.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $0.83 / $2.40	Professional		$0.83	$0.83	$2.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.38 / $1.74	Facility		$1.23	$1.38	$1.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $0.91 / $1.10 / $2.00	Professional		$0.91	$1.10	$2.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $0.83 / $0.83	Facility		$0.83	$0.83	$0.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $0.83 / $0.83	Professional		$0.83	$0.83	$0.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $398.11 / $831.76	Professional		$128.82	$398.11	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.62 / $5.62	Professional		$4.37	$5.62	$5.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $0.89 / $0.89	Professional		$0.89	$0.89	$0.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.50 / $1.17	Facility		$0.28	$0.50	$1.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $0.83 / $0.83	Professional		$0.83	$0.83	$0.83
United Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $2.45 / $2.45	Facility		$2.45	$2.45	$2.45
United Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $0.83 / $0.93	Professional		$0.83	$0.83	$0.93