Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.45 / $32.40 / $35.65	Facility		$13.45	$32.40	$35.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $13.45 / $13.77	Professional		$12.96	$13.45	$13.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.29 / $147.85 / $389.39	Facility		$122.29	$147.85	$389.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $127.50 / $239.70	Professional		$13.28	$127.50	$239.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $13.25 / $13.25	Facility		$13.25	$13.25	$13.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $13.25 / $14.37	Professional		$13.25	$13.25	$14.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $638.07 / $801.00	Professional		$393.93	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $90.00 / $100.00	Facility		$80.00	$90.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $40.09 / $40.09 / $40.09	Professional		$40.09	$40.09	$40.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.83 / $60.00 / $85.00	Professional		$13.83	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.96 / $13.45 / $21.87	Facility		$12.96	$13.45	$21.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $13.25 / $16.20	Professional		$13.25	$13.25	$16.20
United Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $13.25 / $24.64	Professional		$13.25	$13.25	$24.64