Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $19.20 / $21.83	Facility		$19.20	$19.20	$21.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $19.20 / $21.12	Professional		$19.19	$19.20	$21.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $30.64 / $68.73	Facility		$17.14	$30.64	$68.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $17.00 / $31.82	Professional		$16.32	$17.00	$31.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $16.32 / $17.28 / $27.65	Facility		$16.32	$17.28	$27.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $16.32 / $42.28	Professional		$16.32	$16.32	$42.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.89 / $11.89 / $11.89	Facility		$11.89	$11.89	$11.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $11.89 / $11.89	Professional		$11.89	$11.89	$11.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $31.00 / $393.93	Professional		$19.00	$31.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $22.48 / $100.00 / $100.00	Facility		$22.48	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.89 / $11.89 / $27.46	Facility		$11.89	$11.89	$27.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $11.89 / $13.52	Professional		$11.89	$11.89	$13.52
United Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $29.09 / $52.54	Professional		$25.74	$29.09	$52.54