Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Facility		$57.67	$57.67	$57.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Professional		$57.67	$57.67	$57.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.20 / $121.68 / $205.87	Facility		$102.20	$121.68	$205.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $89.00 / $89.00	Professional		$16.37	$89.00	$89.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $146.44 / $205.30 / $335.56	Professional		$146.44	$205.30	$335.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $10.73 / $12.86	Professional		$10.13	$10.73	$12.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $393.93 / $801.00	Professional		$127.00	$393.93	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $100.00 / $117.00	Facility		$80.00	$100.00	$117.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $634.28 / $634.28 / $659.65	Professional		$634.28	$634.28	$659.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $85.00 / $85.00	Professional		$70.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $57.67 / $129.18	Facility		$57.67	$57.67	$129.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $62.92 / $168.73	Professional		$62.92	$62.92	$168.73