Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $8.00 / $8.00	Facility		$8.00	$8.00	$8.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $4.88 / $10.00	Professional		$4.88	$4.88	$10.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $5.17	Professional		$1.00	$1.00	$5.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.72 / $6.37	Professional		$2.45	$3.72	$6.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $5.56 / $5.56	Professional		$5.56	$5.56	$5.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.77 / $638.07 / $801.00	Professional		$257.77	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $100.00 / $100.00	Facility		$90.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $7.70 / $7.70	Professional		$7.70	$7.70	$7.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $70.00 / $85.00	Professional		$3.00	$70.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $5.42 / $16.93	Facility		$4.88	$5.42	$16.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,400,000.00	$2,400,000.00