Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.93 / $10.93 / $10.93	Facility		$10.93	$10.93	$10.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $10.93 / $10.93	Professional		$1.57	$10.93	$10.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $4.00 / $21.60	Professional		$2.70	$4.00	$21.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $10.60 / $10.60	Professional		$10.60	$10.60	$10.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $22.00 / $638.07	Professional		$12.00	$22.00	$638.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $100.00 / $100.00	Facility		$90.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.77 / $28.80 / $38.40	Facility		$13.77	$28.80	$38.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $10.60 / $24.00	Professional		$10.60	$10.60	$24.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $24.96 / $53.30	Professional		$18.48	$24.96	$53.30