Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.15 / $14.15 / $14.15	Facility		$14.15	$14.15	$14.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $14.15 / $14.49	Professional		$13.64	$14.15	$14.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.62 / $19.78 / $33.47	Facility		$16.62	$19.78	$33.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $18.02 / $42.79	Professional		$17.05	$18.02	$42.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $43.43 / $43.43 / $43.43	Facility		$43.43	$43.43	$43.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $17.37 / $42.94	Professional		$17.37	$17.37	$42.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $17.05 / $17.05	Facility		$17.05	$17.05	$17.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $17.05 / $17.05	Professional		$17.05	$17.05	$17.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $638.07 / $801.00	Professional		$129.00	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $90.00 / $100.00	Facility		$85.00	$90.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $63.52 / $63.52	Professional		$32.56	$63.52	$63.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $24.16 / $70.00	Professional		$23.30	$24.16	$70.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.15 / $17.05 / $17.16	Facility		$14.15	$17.05	$17.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $17.05 / $17.05	Professional		$17.05	$17.05	$17.05
United Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $17.05 / $31.94	Professional		$17.05	$17.05	$31.94