Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.65 / $1.56 / $1.72	Facility		$0.65	$1.56	$1.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.65 / $651.95	Professional		$0.65	$0.65	$651.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.70 / $1.68 / $3.77	Facility		$0.70	$1.68	$3.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $0.71 / $1.27	Professional		$0.66	$0.71	$1.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $2.67 / $8.36 / $10.57	Facility		$2.67	$8.36	$10.57
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 $0.66 / $0.66 / $0.66	Facility		$0.66	$0.66	$0.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $0.66 / $0.66	Professional		$0.66	$0.66	$0.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $3.00 / $393.93	Professional		$1.00	$3.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $100.00	Facility		$90.00	$90.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $0.66 / $0.93	Facility		$0.66	$0.66	$0.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $0.66 / $1.44	Professional		$0.66	$0.66	$1.44
United Facility/Professional Professional Modifier Low / Median / High Price $0.67 / $0.67 / $1.65	Professional		$0.67	$0.67	$1.65