Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.47 / $26.47 / $26.47	Facility		$26.47	$26.47	$26.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $26.47 / $26.47	Professional		$3.04	$26.47	$26.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $5.00 / $21.60	Professional		$2.70	$5.00	$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 $8.32 / $8.32 / $8.32	Professional		$8.32	$8.32	$8.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $15.00 / $638.07	Professional		$8.00	$15.00	$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 $16.00 / $19.20 / $28.96	Facility		$16.00	$19.20	$28.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Professional		$8.32	$8.32	$8.32
United Facility/Professional Professional Modifier Low / Median / High Price $12.41 / $16.80 / $34.10	Professional		$12.41	$16.80	$34.10