Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $15.85 / $25.70	Facility		$13.80	$15.85	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $10.72	Professional		$7.08	$7.08	$10.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $9.55 / $23.99	Facility		$7.59	$9.55	$23.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.23 / $19.05	Professional		$7.59	$10.23	$19.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $7.59 / $12.02	Facility		$6.76	$7.59	$12.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.71 / $19.05	Professional		$6.61	$8.71	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Facility		$6.76	$6.76	$6.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Professional		$6.76	$6.76	$6.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.32 / $16.60	Professional		$6.76	$8.32	$16.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $10.96 / $18.20	Facility		$6.76	$10.96	$18.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Professional		$6.76	$6.76	$6.76
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $7.41	Facility		$7.08	$7.08	$7.41
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $16.98	Professional		$7.59	$7.59	$16.98