Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.91 / $10.96	Professional		$6.03	$8.91	$10.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.47 / $12.30	Professional		$8.91	$10.47	$12.30
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $50.12 / $50.12	Professional		$38.02	$50.12	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $61.66	Professional		$60.26	$60.26	$61.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $89.13 / $100.00	Facility		$15.14	$89.13	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $11.75 / $19.95	Facility		$6.46	$11.75	$19.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Professional		$9.33	$9.33	$9.33
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.08 / $13.49	Professional		$4.79	$7.08	$13.49