Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $6.00 / $6.00	Facility		$6.00	$6.00	$6.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $6.00	Professional		$6.00	$6.00	$6.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Professional		$15.00	$15.00	$15.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
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 $5.05 / $5.05 / $15.24	Professional		$5.05	$5.05	$15.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $23.00 / $283.26	Professional		$21.00	$23.00	$283.26
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 $21.11 / $21.11 / $21.11	Professional		$21.11	$21.11	$21.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $70.00 / $85.00	Professional		$15.00	$70.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $6.00 / $8.61	Facility		$6.00	$6.00	$8.61
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