Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.57 / $15.14 / $17.03	Facility		$7.57	$15.14	$17.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $7.64 / $9.17	Professional		$7.57	$7.64	$9.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.57 / $10.90 / $28.22	Facility		$7.57	$10.90	$28.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $8.86 / $17.85	Professional		$7.57	$8.86	$17.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $6.77 / $7.57 / $17.41	Facility		$6.77	$7.57	$17.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $6.62 / $18.34	Professional		$6.62	$6.62	$18.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.77 / $6.77 / $6.77	Facility		$6.77	$6.77	$6.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $6.77	Professional		$6.77	$6.77	$6.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $8.93 / $16.64	Professional		$6.81	$8.93	$16.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $90.00 / $90.00	Facility		$75.00	$90.00	$90.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.77 / $6.77 / $10.83	Facility		$6.77	$6.77	$10.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $7.57	Professional		$6.77	$6.77	$7.57
United Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $7.57 / $15.60	Professional		$7.57	$7.57	$15.60