Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.11 / $78.75 / $2,639.12	Facility		$45.11	$78.75	$2,639.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.66 / $169.00 / $876.00	Facility		$52.66	$169.00	$876.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $25.23 / $25.23	Professional		$1.05	$25.23	$25.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $22.85 / $33.97 / $69.95	Facility		$22.85	$33.97	$69.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.07 / $28.37 / $76.42	Facility		$14.07	$28.37	$76.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $40.36 / $40.36	Professional		$40.36	$40.36	$40.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $638.07 / $801.00	Professional		$283.26	$638.07	$801.00
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 $252.00 / $252.00 / $252.00	Professional		$252.00	$252.00	$252.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $85.00	Professional		$60.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.94 / $28.89 / $75.12	Facility		$14.94	$28.89	$75.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,400,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $12.60 / $16.00	Professional		$12.60	$12.60	$16.00