Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $28.67	Facility		$18.62	$18.62	$28.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $20.48	Professional		$18.62	$18.62	$20.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.62 / $29.70 / $66.62	Facility		$16.62	$29.70	$66.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $17.00 / $30.86	Professional		$15.83	$17.00	$30.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $15.83 / $17.69 / $26.81	Facility		$15.83	$17.69	$26.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $17.69 / $44.23	Professional		$17.69	$17.69	$44.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.52 / $17.52 / $17.52	Facility		$17.52	$17.52	$17.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $17.52 / $17.52	Professional		$17.52	$17.52	$17.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $33.00 / $393.93	Professional		$20.00	$33.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $23.77 / $100.00 / $100.00	Facility		$23.77	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.52 / $17.52 / $26.63	Facility		$17.52	$17.52	$26.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $17.52 / $17.52	Professional		$13.08	$17.52	$17.52
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.04 / $38.01	Professional		$18.62	$21.04	$38.01