Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.59 / $16.59 / $16.59	Facility		$16.59	$16.59	$16.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.59 / $16.59 / $18.91	Professional		$16.59	$16.59	$18.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.02 / $16.02 / $18.14	Facility		$15.02	$16.02	$18.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $15.10 / $29.87	Professional		$13.00	$15.10	$29.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $57.00 / $393.93	Professional		$53.00	$57.00	$393.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $100.00 / $100.00	Facility		$85.00	$100.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.59 / $23.72 / $45.79	Facility		$16.59	$23.72	$45.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
United Facility/Professional Professional Modifier Low / Median / High Price $34.08 / $36.59 / $66.09	Professional		$34.08	$36.59	$66.09