Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $33.11 / $85.11	Facility		$13.49	$33.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $15.85	Professional		$12.02	$12.88	$15.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $162.18 / $407.38	Facility		$128.82	$162.18	$407.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $128.82 / $199.53	Professional		$13.18	$128.82	$199.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $15.14	Professional		$13.18	$13.18	$15.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $630.96 / $831.76	Professional		$398.11	$630.96	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $60.26	Professional		$13.80	$13.80	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $13.80 / $23.99	Facility		$12.88	$13.80	$23.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $16.22	Professional		$13.18	$13.18	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $19.50	Professional		$13.18	$13.18	$19.50