Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.68 / $12.68 / $12.68	Facility		$12.68	$12.68	$12.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $12.68 / $13.94	Professional		$12.67	$12.68	$13.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.32 / $20.23 / $45.40	Facility		$11.32	$20.23	$45.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $17.46 / $24.44	Professional		$10.78	$17.46	$24.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $10.78 / $12.05 / $22.85	Facility		$10.78	$12.05	$22.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $12.05 / $30.13	Professional		$12.05	$12.05	$30.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.97 / $11.97 / $11.97	Facility		$11.97	$11.97	$11.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $11.97 / $11.97	Professional		$11.97	$11.97	$11.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $45.00 / $393.93	Professional		$27.00	$45.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19.92 / $100.00 / $100.00	Facility		$19.92	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.97 / $11.97 / $18.13	Facility		$11.97	$11.97	$18.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $11.97 / $11.97	Professional		$10.96	$11.97	$11.97
United Facility/Professional Professional Modifier Low / Median / High Price $51.46 / $58.15 / $105.04	Professional		$51.46	$58.15	$105.04