Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $128.82	Facility		$15.85	$15.85	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $16.98	Professional		$15.85	$15.85	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $17.78 / $22.91	Facility		$15.85	$17.78	$22.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $30.20	Professional		$12.88	$15.14	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $57.54 / $398.11	Professional		$52.48	$57.54	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $23.99 / $45.71	Facility		$16.60	$23.99	$45.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.69 / $0.69 / $0.69	Professional		$0.69	$0.69	$0.69
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $100.00 / $100.00	Facility		$16.98	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $36.31 / $69.18	Professional		$33.88	$36.31	$69.18